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

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.

Keywords pregnancy - shock - vasopressors - peripheral venous lines

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