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August 1, 1989Anesthesiology

Isoproterenol is an Effective Marker of Intravenous Injection in Laboring Women

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Why the study?

Does isoproterenol 5 micrograms IV produce a consistent, noticeable tachycardia to serve as a marker of intravenous injection in healthy, laboring women?

Population

20 healthy, laboring women (n=10 per group)

Comparison

Isoproterenol 5 micrograms IV vs Normal saline IV

Design

RCT, randomized, double-blind

Follow-up

10 minutes post-injection

Authors

BLBarbara L. LeightonWashington University in St. LouisCDCheryl A. DeSimoneMayo Clinic in FloridaMNMark C. NorrisBoston University

Discussion

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Implication

Isoproterenol 5 μg IV produces detectable maternal tachycardia; supports its evaluation as an intravascular injection marker in laboring women, pending safety data.

Structured PICO

Does isoproterenol 5 micrograms IV produce a consistent, noticeable tachycardia to serve as a marker of intravenous injection in healthy, laboring women?

P
Population
20 healthy, laboring women (n=10 per group)
I
Intervention
Isoproterenol 5 micrograms IV
C
Comparator
Normal saline IV
O
Outcome
Detection of an intravascular marker (tachycardia) using baseline-to-peak and peak-to-peak maternal heart rate criteriasurrogate

Isoproterenol 5 micrograms IV effectively produces a noticeable tachycardia in laboring women, suggesting potential utility as a marker for intravascular injection, though epidural safety requires further animal testing.

Limitations

  • Safety and efficacy of epidural isoproterenol must be demonstrated in animals before it can be incorporated in an epidural anesthesia test dose

Cite This Study

Leighton et al. (1989) studied this question.

synapsesocial.com/papers/6a899605a4df84145ecb195ehttps://doi.org/10.1097/00000542-198908000-00007
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Also Consider

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

  1. 1Hemodynamic Effects of Intravenous Isoproterenol Versus Saline in the Parturient1997 · 8 citations
  2. 2Hemodynamic Effects of Intravenous Isoproterenol Versus Saline in the Parturient1997 · 8 citations
  3. 3Epidural Test Dose1996
  4. 4Epidural Test Dose1996 · 17 citations
  5. 5Intravenous Isoproterenol as a Marker for Epidural Test-Dosing in Children1993 · 54 citations