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American Journal of Medical Case Reports. 2022, 10(8), 197-198
DOI: 10.12691/AJMCR-10-8-5
Case Report

The Injection of Intraarterial Vasodilator for the Treatment of Vasopressor Extravasation

Ilse Novis1, Hailey Novis1, Ingie Sorour1 and Khaled Sorour1,

1Department of Anesthesia, Critical Care, and Pain Management; Signature Brockton Hospital; Brockton, MA

Pub. Date: August 09, 2022
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Cite this paper

Ilse Novis, Hailey Novis, Ingie Sorour and Khaled Sorour. The Injection of Intraarterial Vasodilator for the Treatment of Vasopressor Extravasation. American Journal of Medical Case Reports. 2022; 10(8):197-198. doi: 10.12691/AJMCR-10-8-5

Abstract

A patient receiving Norepinephrine infusion through a peripheral IV experienced vasopressor extravasation. Due to an unavailability of phentolamine in the hospital, it was decided to attempt a new method of extravasation treatment through intraarterial injection of nitroprusside, restoring blood flow to the affected area. To mitigate the recurrence of vasospasms given the short half-life of nitroprusside, ropivacaine was injected. This regime successfully alleviated the extravasation-induced vasospasm and the patient recovered full function.

Keywords

extravasation, norepinephrine, nitroprusside, ropivacaine, vasopressor complication

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Al-Benna S, O'Boyle C, Holley J. Extravasation injuries in adults. ISRN Dermatol. 2013 May 8; 2013: 856541.
 
[2]  Plum M, Moukhachen O. Alternative Pharmacological Management of Vasopressor Extravasation in the Absence of Phentolamine. P T. 2017 Sep; 42(9): 581-592. PMID: 28890646; PMCID: PMC5565133.
 
[3]  Guo, Binbin MMa; Yang, Tian MMa; Nan, Jinniang MDa; Huang, Qianghui MMb; Wang, Chenxiu MMc; Xu, Wenpeng MMd,∗ Efficacy and safety of Shenfu injection combined with sodium nitroprusside in the treatment of chronic heart failure in patients with coronary heart disease, Medicine: February 19, 2021 - Volume 100 - Issue 7 - p e24414.