The Injection of Intraarterial Vasodilator for the Treatment of Vasopressor Extravasation

Ilse Novis¹, Hailey Novis¹, Ingie Sorour¹ and Khaled Sorour^1,

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

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

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References:

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