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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.

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Article

The Injection of Intraarterial Vasodilator for the Treatment of Vasopressor Extravasation

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


American Journal of Medical Case Reports. 2022, Vol. 10 No. 8, 197-198
DOI: 10.12691/ajmcr-10-8-5
Copyright © 2022 Science and Education Publishing

Cite this paper:
Ilse Novis, Hailey Novis, Ingie Sorour, 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.

Correspondence to: Khaled  Sorour, Department of Anesthesia, Critical Care, and Pain Management; Signature Brockton Hospital; Brockton, MA. Email: ksorour@signature-healthcare.org

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.

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