Administration of norepinephrine in peripheral venous catheter

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Due to the risk of extravasation and ischaemic tissue damage norepinephrine is often administered via a central venous catheter. Administration of norepinephrine via a peripheral venous catheter may be a safe alternative during surgery, if the drug is administered correctly” Ekeløf et al (2017).

Abstract:

Hypotension is a common event during surgery and can cause serious post-operative complication, but vasoactive drugs can stabilize the cardiovascular system and reduce the risk of post-operative complications. Norepinephrine is an ideal vasopressor. Due to the risk of extravasation and ischaemic tissue damage norepinephrine is often administered via a central venous catheter. Administration of norepinephrine via a peripheral venous catheter may be a safe alternative during surgery, if the drug is administered correctly.

Reference:

Ekeløf, S.A., Ekeløf, S., Bech, J.N. and Ekeløf, P. (2017) Administration of norepinephrine in peripheral venous catheter on surgical patients. Ugeskrift for Laeger. 179(34). [Article in Danish].

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