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May 1, 1997Anesthesia & Analgesia

Hemodynamic Effects of Intravenous Isoproterenol Versus Saline in the Parturient

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Why the study?

Does intravenous isoproterenol alter maternal and fetal hemodynamics compared to saline in nonlaboring women at term?

Population

60 nonlaboring women at term (results of 50 used for analysis)

Comparison

Intravenous injection of 5 micrograms… vs Intravenous injection of 5 micrograms saline

Design

RCT, randomized, double-blind

Follow-up

10 minutes

Authors

MMMarco A. E. MarcusHamad General HospitalJVJan VertommenUniversitair Ziekenhuis LeuvenHAHugo Van AkenUniversidad Mayor

Discussion

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Implication

Supports isoproterenol as test dose for obstetric epidural analgesia; extends RCT hemodynamic data in term pregnancies.

Structured PICO

Does intravenous isoproterenol alter maternal and fetal hemodynamics compared to saline in nonlaboring women at term?

P
Population
60 nonlaboring women at term (results of 50 used for analysis)
I
Intervention
Intravenous injection of 5 micrograms isoproterenol
C
Comparator
Intravenous injection of 5 micrograms saline
O
Outcome
Hemodynamic variables including maternal heart rate, maternal mean arterial pressure, uterine blood flow, and umbilical blood flow over 10 minutes post-injectionsurrogate

Intravenous isoproterenol (5 micrograms) increases maternal heart rate and uterine blood flow without affecting umbilical blood flow, suggesting it may be a suitable test dose for epidural analgesia in obstetrics.

Cite This Study

Marcus et al. (1997) studied this question.

synapsesocial.com/papers/6a899672f8670bac6e334c75https://doi.org/10.1097/00000539-199705000-00029
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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 Epinephrine in the Chronic Maternal-Fetal Sheep Preparation1996 · 27 citations
  2. 2Isoproterenol is an Effective Marker of Intravenous Injection in Laboring Women1989 · 49 citations
  3. 3Maternal and Fetal Effects of Epinephrine in Gravid Ewes1986 · 99 citations
  4. 4Epinephrine-Induced Tachycardia Is Different from Contraction-Associated Tachycardia in Laboring Patients1996 · 20 citations
  5. 5Current Controversies in Obstetric Anesthesia1994 · 26 citations