Milrinone infusion access

[waterbottle10]

Are there any major adverse side effects of running milrinone thru a fast PIV vs central line? Unlike epi and such it vasodilates..
In my case the milrinone was for neuro reasons not cardiac

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[urge]

Are there any major adverse side effects of running milrinone thru a fast PIV vs central line? Unlike epi and such it vasodilates..
In my case the milrinone was for neuro reasons not cardiac

What kind of neuro issues benefit from milrinone?

 

[GravelRider]

What kind of neuro issues benefit from milrinone?

Maybe vasospasm? Or decompensated heart failure causing poor brain perfusion?

 

[anbuitachi]

Vasospasm benefits from milrinone

 

[urge]

Vasospasm benefits from milrinone

Where is the literature on that?

Remember nimodipine?

 

[urge]

Are there any major adverse side effects of running milrinone thru a fast PIV vs central line? Unlike epi and such it vasodilates..
In my case the milrinone was for neuro reasons not cardiac

Milrinone can go peripheral just fine. No issues with infiltration.

 

[anbuitachi]

Where is the literature on that?

Remember nimodipine?

There are small recent studies that show benefit. I dont think there has been a large double blind study yet. But if vasospasm is crippling the patient in the ICU, I'd definitely give it a try.

 

[ZzzPlz]

There are small recent studies that show benefit. I dont think there has been a large double blind study yet. But if vasospasm is crippling the patient in the ICU, I'd definitely give it a try.

You mean after vitamin C right?

 

[anbuitachi]

You mean after vitamin C right?

absolutely. the moment they are found to have intracranial hemorrhage i give them mega doses of vitamin c

 

[deleted162650]

absolutely. the moment they are found to have intracranial hemorrhage i give them mega doses of vitamin c

It only works when you give it along with steroids *******.

 

[deleted59964]

It only works when you give it along with steroids *******.

And selenium

 

[Airlife91]

What kind of neuro issues benefit from milrinone?

I've seen some run intra-arterial milrinone for vasospasm protection post-SAH in our neuro ICU