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January 1, 1993Anesthesia & Analgesia

Intravenous Isoproterenol as a Marker for Epidural Test-Dosing in Children

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Why the study?

Does intravenous isoproterenol act as an effective marker of intravascular injection in anesthetized children?

Population

44 ASA 1 children, aged 2 months to 10 years, anesthetized with halothane and nitrous oxide in 50% oxygen.

Comparison

Isoproterenol 0.075 microgram/kg intravenous vs Isoproterenol 0.05 microgram/kg intravenous

Design

RCT, randomly assigned to two groups, blinded observer

Authors

MPMichele PerilloJewish General HospitalNSNavil F. SethnaBoston Children's HospitalCBCharles B. BerdeBoston Children's Hospital

Discussion

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Implication

Isoproterenol 0.075 μg/kg reliably marks intravascular injection via heart rate rise in anesthetized children; extends adult data but needs pediatric safety confirmation.

Structured PICO

Does intravenous isoproterenol act as an effective marker of intravascular injection in anesthetized children?

P
Population
44 ASA 1 children, aged 2 months to 10 years, anesthetized with halothane and nitrous oxide in 50% oxygen.
I
Intervention
Isoproterenol 0.075 microgram/kg intravenous
C
Comparator
Isoproterenol 0.05 microgram/kg intravenous
O
Outcome
Heart rate and arterial blood pressure changessurrogate

Isoproterenol 0.075 microgram/kg produces a reliable heart rate increase in anesthetized children, showing promise as an epidural test dose marker, though further safety evaluation is needed.

Limitations

  • Full reliability and neurotoxicity need to be evaluated before recommendation

Cite This Study

Perillo et al. (1993) studied this question.

synapsesocial.com/papers/6a8ada4bf8241cb45bfb3c6dhttps://doi.org/10.1213/00000539-199301000-00030
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Also Consider

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

  1. 1Epidural Test Dose1996
  2. 2Epidural Test Dose1996 · 17 citations
  3. 3Comparison of Isoprenaline with Adrenaline as Components of Epidural Test Dose Solutions for Halothane Anaesthetized Children2002 · 3 citations
  4. 4Isoproterenol is an Effective Marker of Intravenous Injection in Laboring Women1989 · 49 citations
  5. 5Efficacy of an Epidural Test Dose in Children Anesthetized with Halothane1990 · 121 citations