2 10 12 https://repository.horizon.ac.id/files/original/2831cfd16954253111e18b259a0c2c9b.pdf bb8899fd9501b1f90c3379a5758786ce Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 2 2022 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional vol.12 issue 2 2022 African Journal of Emergency Medicine Utilisation of peripheral vasopressor medications and extravasation events among critically ill patients in Rwanda: A prospective cohort study Subject The topic of the resource Rwanda Vasoactive agents Peripheral vasopressors Extravasation Resuscitation Global health Description An account of the resource Introduction: In high-income settings, vasopressor administration to treat haemodynamic instability through a central venous catheter (CVC) is the preferred standard. However, due to lack of availability and potential for complications, CVCs are not widely used in low- and middle-income countries. This prospective cohort study evaluated the use of peripheral vasopressors and associated incidence of extravasation events in patients with haemodynamic instability at the Centre Hospitalier Universitaire Kigali, Rwanda. Methods: Patients ≥18 years of age receiving peripheral vasopressors in the emergency centre (EC) or intensive care unit (ICU) for >1 hour were eligible for inclusion. The primary outcome was extravasation events. Patients were followed hourly until extravasation, medication discontinuation, death, or CVC placement. Extravasation incidence with 95% confidence intervals (CI) were calculated using Poisson exact tests. Results: 64 patients were analysed. The median age was 49 (Interquartile Range [IQR]:33-65) and 55% were female. Distributive shock was the most frequent aetiology (47%). Intravenous (IV) location was most commonly antecubital fossa/upper arm (31%) and forearm/hand (43%). IV gauges ≤18 were used in 58% of locations. Most patients were treated with adrenaline (66%) and noradrenaline (41%), and 11% received multiple vasopressors. The median treatment duration was 19 hours (IQR:8.5-37). Treatment discontinuation was predominantly due to mortality (41%) or resolution of instability (36%). There were two extravasation events (2.9%), both limited to soft tissue swelling. Extravasation incidence was 0.8 events per 1000 patient-hours (95% CI:0.2-2.2). Conclusion: Extravasation incidence with peripheral vasopressors was low, even with long use durations, sug- gesting peripheral infusions may be an acceptable approach when barriers exist to CVC placement. Creator An entity primarily responsible for making the resource Catalina G. Marques , Lucien Mwemerashyak, Kyle Martin, Oliver Tang, Chantal Uwamahoro , Vincent Ndebwaniman, Doris Uwamahoro , Katelyn Moretti , Vinay Sharma, Sonya Naganathan, Ling Jing, Stephanie C. Garbern, Menelas Nkeshiman, Adam C. Levine, Adam R. Aluisio Source A related resource from which the described resource is derived https://doi.org/10.1016/j.afjem.2022.03.006 Date A point or period of time associated with an event in the lifecycle of the resource 28 March 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Keperawatan Rwanda Vasoactive agents Peripheral vasopressors Extravasation Resuscitation Global health https://repository.horizon.ac.id/files/original/5b37b5626d6c7673b10b534cf24231f6.jpg 907922696ba2bf0422e9e1d62fb0e857 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional Afrika vol. 12 issue 2 2022 Still Image A static visual representation. Examples include paintings, drawings, graphic designs, plans and maps. Recommended best practice is to assign the type Text to images of textual materials. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Jurnal Internasional vol.12 issue 2 2022