Peripheral Use of Vasopressors in Shock: Clinical Considerations and Recommendations for Use in Obstetrics

Abstract

Objective

This study aimed to evaluate the safety of peripheral administration of vasopressor agents among patients with circulatory shock.

Study Design

We reviewed the published literature evaluating the use of peripheral norepinephrine in patients with shock and proposed a protocol for use in labor and delivery units.

Results

Peripheral administration of norepinephrine is a safe and potentially lifesaving intervention for patients in labor and delivery with extremely low complication rates.

Conclusion

Adoption of a protocol for peripheral administration of vasopressors in labor and delivery is safe and may prevent life threatening delays in hemodynamic resuscitation.

Key Points

• Administering vasopressors through a peripheral line is safe and helps avoid delays in care.

• An established protocol is essential for the safe peripheral administration of vasopressors.

• Understanding continuous blood pressure monitoring is crucial for managing critically ill patients.

Keywords

pregnancy - shock - vasopressors - peripheral venous lines

Publication History

Received: 15 July 2024

Accepted: 05 October 2024

Article published online:
29 October 2024

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