5 Minute Bit #22 - Vasopressors, Part 3

In this 5 minute bit, we discuss scenario based pressor selection, vasopressors to choose in the face of RV failure or pulmonary hypertension, and peripheral vasopressors. Below you will find evidence related articles on vasopressin and dobutamine effect on pulmonary vascular resistance, safety profile of peripheral pressors and an interesting article about using midline catheters as an alternative to central lines for vasopressor administration (not prime time yet). 

https://pubmed.ncbi.nlm.nih.gov/12682485/

http://www.emdocs.net/the-crashing-pulmonary-hypertension-patient/

https://emcrit.org/emcrit/peripheral-vasopressors-extravasation/

https://pubmed.ncbi.nlm.nih.gov/26014852/

http://www.emdocs.net/r-e-b-e-l-em-peripheral-pressors-6-pearls-to-not-fk-up-the-arm/

https://journals.lww.com/ccmjournal/fulltext/2020/01001/1276__safety_and_efficacy_of_vasopressor.1232.aspx

https://first10em.com/peripheralperssors/

https://www.acep.org/how-we-serve/sections/critical-care-medicine/news/july-2017/peripherally-versus-centrally-administered-potent-vasopressors-in-the-icu/

https://journals.lww.com/anesthesia-analgesia/fulltext/2002/02000/vasopressin_effect_on_pulmonary_arterial_pressure.59.aspx