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Inotropes

What’s the “Best” Site for Central Line Placement?

15 May, 201711 July, 2021 EMKF

Using the subclavian site for central venous catheterization reduced infections and DVT to a minimum, but tripled the risk of pneumothorax compared to the internal jugular (IJ) position. Using the femoral position eliminated pneumothorax risk, and was comparable to the IJ in infection risk, but significantly increased DVT risk.

 

Can you give vasopressors via a peripheral IV to save a life before a central line is inserted…YES WE CAN!!

28 May, 201511 July, 2021 EMKF

In critically ill patients, with hemodynamic instability, vasopressor infusion through a proximal PIV (antecubital fossa or external jugular vein), for <4hours of duration is unlikely to result in tissue injury and will reduce the time it takes to achieve hemodynamic stability.

 

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