RT Journal A1 Close A T1 PHentolamine hydrochloride in prevention of cutaneous necrosis due to levarterenol JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1959 FD August 15 VO 170 IS 16 SP 1916 OP 1917 DO 10.1001/jama.1959.03010160032009 UL http://dx.doi.org/10.1001/jama.1959.03010160032009 AB It is reasonable to assume that the mechanism by which phentolamine reverses the ischemia associated with extravasation or tissue diffusion of levarterenol is through blockage of action by the latter on adrenergic effector cells. Accumulated evidence indicates that cutaneous necrosis is a preventable complication of levarterenol administration if careful observation for ischemic areas is carried out in all patients who have received levarterenol, with prompt institution of prophylactic instillation of phentolamine when indicated.