title: Reversal of hand peripheral ischaemia due to extravasation of adrenaline during cardiopulmonary resuscitation.
abstract: A 63 year old woman sustained an extravasation of vasopressor during a successful in hospital cardiopulmonary resuscitation resulting in an acutely ischaemic hand. This was treated with multiple washouts of the hand due to incipient recurrence of the ischaemia. Extravasation of vasopressor is exceedingly rare and potentially devastating. This case highlights the specific problems associated with extravasation of vasopressor. We present an algorithm for treatment of these and identify the potential need to use specific antidotes for the vasoconstriction caused by adrenaline extravasation.
authors: Department of Plastic Surgery, Cork University Hospital, Wilton, Cork, Ireland.
authors: R
authors: R
authors: van der Rijt
authors: J D
authors: JD
authors: Martin-Smith
authors: A J P
authors: AJ
authors: Clover
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects / Q000379:methods*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000098:blood supply*; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D007511:Ischemia / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D018570:Risk Assessment; D012720:Severity of Illness Index; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome
keywords: Extravasation injury; Treatment algorithm; Vasopressor