Use of Vasopressors in ED |
Survey of Vasopressor Use in NSW Emergency Departments
Background
Vasoactive drugs have traditionally been given via a central line due to the risks of extravasation.
They have been delayed until adequate fluid resuscitation has been given, and central access obtained. However, a growing body of evidence suggests early use of inotropes is associated with improved outcomes.
Many emergency physicians are already using peripheral vasopressors despite a lack of established guidelines.
This ECI generated survey is interested in capturing the practice patterns of physicians working in NSW regarding the use of vasopressors in the ED. This survey is one part of building a broader picture on the safety and use of vasopressors in the ED. A recent systematic review conducted by Loubani et al. (2015)1 suggests they can be safely administered peripherally. We are aiming to describe current practice and generate a NSW practice guideline for the use of peripheral vasopressors in the ED.
Vasoactive drugs have traditionally been given via a central line due to the risks of extravasation.
They have been delayed until adequate fluid resuscitation has been given, and central access obtained. However, a growing body of evidence suggests early use of inotropes is associated with improved outcomes.
Many emergency physicians are already using peripheral vasopressors despite a lack of established guidelines.
This ECI generated survey is interested in capturing the practice patterns of physicians working in NSW regarding the use of vasopressors in the ED. This survey is one part of building a broader picture on the safety and use of vasopressors in the ED. A recent systematic review conducted by Loubani et al. (2015)1 suggests they can be safely administered peripherally. We are aiming to describe current practice and generate a NSW practice guideline for the use of peripheral vasopressors in the ED.
All individual survey responses will be treated as confidential. In any presentation or publication information will be provided in a de-identified way so the individual and/or the organisation you represent cannot be identified.
This survey will take you approx 3 minutes to complete
1. Loubani OM, Green RS. A systematic review of extravasation and local tissue injury from administration of vasopressors through peripheral intravenous catheters and central venous catheters. Journal of critical care. 2015;30(3):653 e9-17.