Peripheral Administration of Vasopressors and Their Safety

Dr. Rick Rutherford, M.D., FAAFP
More Articles – Central line, Emergency Procedures, Featured, medical procedures, Needle Decompression, Ultrasound-Guided Peripheral IV
More Tags – PIV vasopressor administration, vasopressor administration, vasopressor administration in critical care, vasopressor administration through peripheral intravenous
While vasopressors are typically administered through a central venous catheter (CVC), peripheral intravenous (PIV) administration is becoming more common in clinical practice. The safety of this administration method is now well-established and is a good alternative to CVC placement for…
Read More

Early Paracentesis in Patients Admitted With Cirrhotic Ascites

refractory ascites
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Featured Procedure, medical procedures, Paracentesis
More Tags – Cirrhotic ascites, cirrhotic symptoms, Early Paracentesis, featured, paracentesis
Cirrhosis refers to a chronic liver disease that causes the liver’s normal architecture to change. It leads to scarring, the formation of fibrous tissue, and fluid (ascites) in the abdomen. Some cases may require invasive hospital procedures. Ascites is cirrhosis’…
Read More

Central Line or PICC Line Placement in Patients With CKD

central-line-placement
Joseph Esherick, M.D., FAAFP, FHM
More Articles – Central line, Featured, medical procedures
More Tags – Alternatives to PICC, alternatives to picc line, Internal Jugular Central Line, PICC in patients who may need hemodialysis, PICC in patients with chronic kidney disease, picc line for dialysis, picc line placement, PICC line placement for long-term vascular access, Subclavian Central Line
A peripherally inserted central catheter (PICC) line refers to a type of central line that is used for long-term vascular access in patients with chronic kidney disease (CKD). However, the American Board of Internal Medicine’s (ABIM) Choosing Wisely campaign recommends…
Read More

Brachial Arterial Catheterization and Its Low Risk of Complications

Radial arterial line training
Dr. Rick Rutherford, M.D., FAAFP
More Articles – Arterial line, Cardiovascular diseases, Emergency Procedures, Featured
More Tags – arterial sheath vs arterial line, artery catheterization, brachial and radial artery, Brachial arterial catheterization, brachial sheath, Brachial vs Radial Blood Pressure, main brachial artery, radial cardiac catheterization complications
Brachial arterial catheterization is widely chosen for constant blood pressure and hemodynamic monitoring in critically ill patients. It provides real-time measurements of physiologic parameters with a very low incidence of associated risks or complications. In this article, we will revisit…
Read More