What is a complication of rapid vancomycin infusion?

Red Man syndrome is a well-documented complication associated with the rapid infusion of vancomycin. This condition primarily manifests as an itchy or painful rash, which may also include flushing and hypotension due to the release of histamine. The rash typically begins on the face, neck, and upper torso and can progress if the infusion is not slowed.

This reaction is not an allergic reaction but rather a direct consequence of vancomycin's pharmacological effects when infused too quickly. Slowing the infusion rate can significantly alleviate symptoms. While hypotension can occur, it is often a secondary effect of the flushing and histamine release. Recognizing and managing Red Man syndrome is crucial to ensure patient comfort and safety during treatment with vancomycin.