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Comparative Study

MILTON F. BRYANT, M.D.; JOHN M. HOWARD, M.D.

AMA Arch Surg. 1957;75(6):1020-1022.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Two vasopressors currently used in the treatment of various acute hypotensive states are metaraminol (Aramine; l-1-[m-hydroxyphenyl]-2-amino-1-propanol) and levarterenol (Levophed; l-norepinephrine). The cardiovascular and renal hemodynamics of these two drugs have been extensively studied by many investigators, both clinically and in experimental animals.^1-3 Their local effects on the soft tissues, when administered intravenously or subcutaneously, have received inadequate attention, although in many patients the local necrotizing properties of various vasoconstrictors have been distressingly obvious.⁴

In a previous report,⁵ it was shown that soft-tissue sloughs associated with the intravenous administration of solutions containing arterenol were apparently due to extravascular infiltration of the solution. In addition, it was demonstrated that "Levophed sloughs" could be prevented by injecting phentolamine (Regitine) into and about the margins of the extravasation. Moyer⁶ and others^7,8 have not observed deleterious local effects from the infiltration of soft tissue by solutions . . . [Full Text PDF of this Article]

Author Affiliations
Atlanta

From the Whitehead Department of Surgery, Emory University School of Medicine, and Grady Memorial Hospital.

Footnotes
Submitted for publication May 29, 1957.

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