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Well recognised but still overlooked: norepinephrine extravasation
  1. Sun Moon Kim1,
  2. Shamik Aikat2,
  3. Alison Bailey2
  1. 1Department of Internal Medicine, University of Kentucky, Lexington, Kentucky, USA
  2. 2Department of Cardiovascular Medicine, University of Kentucky, Gill Heart Institute, Lexington, Kentucky, USA
  1. Correspondence to Dr Sun Moon Kim,{at}

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A 46-year-old man was transferred from an outside hospital for evaluation of acute renal failure and non-ST-segment elevation myocardial infarction. During his initial presentation at the outside hospital, the patient was profoundly hypotensive with signs of respiratory failure. Owing to the perceived urgency, he was started on norepinephrine for haemodynamic support through a peripheral intravenous line. Following the resolution of haemodynamic instability, the patient was noted …

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  • Competing interests None.

  • Patient consent Obtained.