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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 hemodynamic variables compared to saline in nonlaboring women at term?

Population

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

Comparison

Isoproterenol 5 micro g intravenous injection vs Saline 5 micro g intravenous injection

Design

RCT, randomized, double-blind

Follow-up

10 min

Authors

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

Discussion

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Implication

Supports isoproterenol as epidural test dose in term parturients; extends RCT evidence for selective maternal hemodynamic effects.

Structured PICO

Does intravenous isoproterenol alter hemodynamic variables compared to saline in nonlaboring women at term?

P
Population
60 nonlaboring women at term (results of 50 women used for further analysis)
I
Intervention
Isoproterenol 5 micro g intravenous injection
C
Comparator
Saline 5 micro g intravenous injection
O
Outcome
Hemodynamic variables including maternal heart rate (MHR), maternal mean arterial pressure, uterine blood flow (UBF), and umbilical blood flow (UMB) measured for 10 min after injectionsurrogate

Intravenous isoproterenol (5 micro g) 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/6a899672f8670bac6e334c76https://doi.org/10.1213/00000539-199705000-00029
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Also Consider

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

  1. 1Isoproterenol is an Effective Marker of Intravenous Injection in Laboring Women1989 · 49 citations
  2. 2Maternal and Fetal Effects of Epinephrine in Gravid Ewes1986 · 99 citations
  3. 3Hemodynamic Effects of Intravenous Isoproterenol Versus Epinephrine in the Chronic Maternal-Fetal Sheep Preparation1996 · 27 citations
  4. 4Current Controversies in Obstetric Anesthesia1994 · 26 citations
  5. 5Epinephrine-Induced Tachycardia Is Different from Contraction-Associated Tachycardia in Laboring Patients1996 · 20 citations