Tuesday, December 22, 2020

Peripheral Vasopressors

REBEL EM - December 21, 2020 - By Matt Astin
Paper: Tran et al. Complication of Vasopressor Infusion Through Peripheral Venous Catheter: A Systematic Review and Meta-analysis. Am J Emer Med. PMID: 33039229
"Clinical Question: What is the prevalence of complications from infusing vasopressors through PIVs?
Author Conclusion: “There was low prevalence of complications as a direct result from infusing vasopressors through PIVs. Studies with safety guidelines were associated with significantly lower prevalence of complications. Further studies are needed to confirm our observations.”
Clinical Take Home Point: Infusion of vasopressors through PIV is a safe practice with an overall complication rate of 7%. The majority of these complications are minor in nature (i.e. Extravasation, infiltration, cellulitis, and thrombophlebitis). If infusing vasopressors through a PIV a safety/observation/extravasation guideline should be established as this associated with significantly lower incidence of adverse events."