Adsumelli 2003.
Study characteristics | ||
Methods | RCT | |
Participants | 50 women Inclusion criteria: healthy term parturients, elective CS under spinal anaesthesia, ASA I‐II. Exclusion criteria: women with chronic hypertension, multiple pregnancy, pregnancy‐induced hypertension, diabetes mellitus, body weight > 110 kg and contraindications to a spinal anaesthetic Setting: USA |
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Interventions |
Compression device versus no compression device Group 1 (n = 25): sequential compression device; with thigh‐high sleeves and a preset pressure of 50 mmHg Group 2 (n = 25): no sleeves on lower limbs Preloading with 20 mL/kg Ringer's lactate Standardised anaesthetic technique and dose for all women |
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Outcomes |
Maternal: hypotension Neonatal: Apgar score < 8 at 5 min |
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Notes | Hypotension: defined as decrease MAP measurement by > 20% of baseline | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomisation method unknown |
Allocation concealment (selection bias) | Unclear risk | "Sealed envelopes." No further detail given |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Hypotension treated by an anaesthetist who was blinded to the assigned group |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not reported |
Selective reporting (reporting bias) | Low risk | Not apparent |
Other bias | Low risk | Not apparent |