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

Am J Perinatol. 2024 Oct 29. doi: 10.1055/a-2435-1000. Online ahead of print.

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..