Obstetric anesthesia

Minimum effective dose of carbetocin for preventing uterine atony during Cesarean delivery in patients with and without preeclampsia: a biased sequential allocation study

Can J AnaesthPublished Dose-finding study

Authors' conclusion

The dose requirement of carbetocin to prevent intraoperative uterine atony in patients with preeclampsia is 1.5 times greater than in those without the disease.

Study context

Population
Nonlabouring parturients aged > 18 yr with singleton pregnancy for Cesarean delivery under spinal anesthesia, with and without preeclampsia
Comparison
Carbetocin ED90 in patients with vs without preeclampsia
Outcome
ED90 of carbetocin to prevent intraoperative uterine atony (success: satisfactory uterine tone at 2 min, no additional uterotonic)
Methodological detailsnonrandomized, triple-blinded, biased coin sequential allocation
  • Nonrandomized
  • Triple-blinded
  • Biased coin sequential allocation

Main finding

As reported in the abstract

ED90 of carbetocin

Original publication

Minimum effective dose of carbetocin for preventing uterine atony during Cesarean delivery in patients with and without preeclampsia: a biased sequential allocation study. Can J Anaesth. Published 11 July 2025. doi:10.1007/s12630-025-03005-2

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