Bottiger 2010.
Study characteristics | ||
Methods | RCT | |
Participants | 60 women Inclusion criteria: ASA I/II, elective caesarean delivery Exclusion criteria: none stated Setting: USA |
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Interventions |
Crystalloid preload versus colloid preload Group 1: crystalloid preload (1500 mL Ringer's lactate) Group 2: colloid preload (0.5L 6% HES) Women in both groups received 100 μg/min phenylephrine infusion following spinal anaesthesia which continued until uterine incision. The phenylephrine infusion was adjusted according to heart rate and SBP which was maintained at 20% of the baseline. No further information regarding spinal anaesthetic technique/dose etc was provided. |
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Outcomes |
Maternal: vasopressor dose, incidence of hypotension, incidence of nausea and vomiting, incidence of bradycardia Neonatal: Apgar score |
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Notes | Hypotension was defined as a 20% fall in SBP from baseline. Hypertension was defined as an increase of 20% from baseline. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Method not explicitly stated |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not reported |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | High risk | 3 women excluded for unspecified reasons and at an unclear point along the study pathway Additionally, study states "60 patients were included as part of a 90 patient study" |
Selective reporting (reporting bias) | Low risk | None evident |
Other bias | Low risk | None evident |