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. 2012 Jul 11;2012(7):CD001319. doi: 10.1002/14651858.CD001319.pub5

Prien 1990.

Methods Randomised controlled trial 
 Blinding not mentioned 
 Loss to follow‐up not mentioned
Participants 18 patients undergoing modified Whipple's operation (hemipancreato‐duodenectomy). Patients were eligible for the study if there was an absence of major organ dysfunction and serum protein, sodium, glucose, blood urea nitrogen, haematocrit, aPTT and PT times, and platelet times were within normal limits. Specific exclusion criteria included compensated myocardial insufficiency, chronic hypertension, chronic obstructive airways disease, and insulin‐dependent diabetes mellitus
Interventions 1) 10% HES (n = 6) 
 2) 20% HA (n = 6) 
 A third group were given RL (n = 6) 
 All given as a volume replacement solution, which was given to maintain CVP at the preoperative level
Outcomes Death (data on death was obtained on contact with the study author) 
 Haemodynamic variables 
 Clotting variables
Notes Follow‐up unspecified 
 Study was intraoperative
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Unclear. No information on allocation