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May 1, 1986AnesthesiologyOpen Access

Maternal and Fetal Effects of Epinephrine in Gravid Ewes

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Why the study?

Does intravenous epinephrine affect maternal hemodynamics and uterine blood flow in gravid ewes?

Population

10 chronically instrumented gravid ewes

Comparison

Epinephrine 5, 10, or 20 micrograms iv bolus… vs Bupivacaine 5 mg iv

Design

Preclinical

Follow-up

Acute (minutes)

Authors

DHDavid D. HoodNorthwestern UniversityDDDavid M. DewanWake Forest UniversityFJFrancis M. JamesUniversity of Southern California

Discussion

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Implication

May caution epinephrine use in obstetric anesthesia; leaves open translation to human pregnancy.

Structured PICO

Does intravenous epinephrine affect maternal hemodynamics and uterine blood flow in gravid ewes?

P
Population
10 chronically instrumented gravid ewes
I
Intervention
Epinephrine 5, 10, or 20 micrograms iv bolus; bupivacaine 5 mg combined with epinephrine 10 micrograms iv
C
Comparator
Bupivacaine 5 mg iv
O
Outcome
Maternal mean arterial pressure, maternal heart rate, and uterine blood flow (UBF)surrogate

Small intravenous boluses of epinephrine significantly decrease uterine blood flow and transiently increase maternal mean arterial pressure in gravid ewes.

Cite This Study

Hood et al. (1986) studied this question.

synapsesocial.com/papers/6a733be61641e80ff1c67419https://doi.org/10.1097/00000542-198605000-00011
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epinephrine Does Not Alter Human Intervillous Blood Flow during Epidural Anesthesia1981 · 54 citations
  2. 2The maternal hemodynamic effects of bupivacaine‐epinephrine mixture used for obstetrical anesthesia1990 · 8 citations
  3. 3Hemodynamic Effects of Intravenous Isoproterenol Versus Epinephrine in the Chronic Maternal-Fetal Sheep Preparation1996 · 27 citations
  4. 4Hemodynamic Effects of Intravenous Isoproterenol Versus Epinephrine in the Chronic Maternal-Fetal Sheep Preparation1996 · 3 citations
  5. 5Safety and Efficacy of Epinephrine Added to Bupivacaine for Lumbar Epidural Analgesia in Obstetrics1985 · 34 citations