SCCM Resource Library-Ditching the Central Line: When Is a Peripheral IV Enough for Vasopressor Administration?

Ditching the Central Line: When Is a Peripheral IV Enough for Vasopressor Administration?

Video Transcription

Video Summary

Dr. Elizabeth Munro's presentation addressed the safety and efficacy of peripheral vasopressor use compared to the traditional method of central line administration. Historically, vasopressors have been given centrally due to risks of tissue injury and extravasation. However, recent studies indicate that peripheral administration, when conducted under strict safety protocols, can be safe and practical. Munro reviews various studies showing low rates of minor complications and zero cases of skin necrosis or limb ischemia with peripheral vasopressor use. These studies employed comprehensive protocols ensuring appropriate vein and IV sizes. Monitoring and management plans for extravasation are crucial due to varying practices and policies across hospitals. Munro emphasizes updating protocols and training to safely harness the advantages of peripheral vasopressors, which can expedite treatment, reduce the need for central lines, and align with evolving clinical practices.

Asset Caption

One-Hour Concurrent Session | Rethinking Vasopressors: Evolving Evidence and Emerging Concepts in Vasopressor Administration

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

peripheral vasopressor

central line administration

safety protocols

extravasation management

clinical practices

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