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

IF 1.5 4区医学 Q3 OBSTETRICS & GYNECOLOGY American journal of perinatology Pub Date : 2024-10-29 DOI:10.1055/a-2435-1000

Luis D Pacheco, Karin A Fox, Corey C Clifford, Faranak Behnia, Melissa E Bauer, Antonio F Saad, George R Saade

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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..

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休克时外周使用血管加压素：产科临床考虑因素和使用建议。

研究目的本研究旨在评估循环休克患者外周给药血管加压药的安全性：研究设计：我们回顾了已发表的评估休克患者外周使用去甲肾上腺素的文献，并提出了在产科使用的方案：结果：外周给药去甲肾上腺素是一种安全且可能挽救产妇生命的干预措施，并发症发生率极低：结论：在分娩和接生过程中采用外周给药血管加压素的方案是安全的，可以避免血流动力学复苏的延误而危及生命：- 通过外周管路使用血管加压剂是安全的，有助于避免护理延误。- 要安全地通过外周管路使用血管加压药，必须制定一个既定方案。- 了解持续血压监测对重症患者的管理至关重要。

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来源期刊

American journal of perinatology 医学-妇产科学

CiteScore

5.90

自引率

0.00%

发文量

302

审稿时长

4-8 weeks

期刊介绍： The American Journal of Perinatology is an international, peer-reviewed, and indexed journal publishing 14 issues a year dealing with original research and topical reviews. It is the definitive forum for specialists in obstetrics, neonatology, perinatology, and maternal/fetal medicine, with emphasis on bridging the different fields. The focus is primarily on clinical and translational research, clinical and technical advances in diagnosis, monitoring, and treatment as well as evidence-based reviews. Topics of interest include epidemiology, diagnosis, prevention, and management of maternal, fetal, and neonatal diseases. Manuscripts on new technology, NICU set-ups, and nursing topics are published to provide a broad survey of important issues in this field. All articles undergo rigorous peer review, with web-based submission, expedited turn-around, and availability of electronic publication. The American Journal of Perinatology is accompanied by AJP Reports - an Open Access journal for case reports in neonatology and maternal/fetal medicine.