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. 2020 Jul 1;2020(7):CD002251. doi: 10.1002/14651858.CD002251.pub4

Bottiger 2010.

Study characteristics
Methods RCT
Participants 60 women
Inclusion criteria: ASA I/II, elective caesarean delivery
Exclusion criteria: none stated
Setting: USA
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.
Outcomes Maternal: vasopressor dose, incidence of hypotension, incidence of nausea and vomiting, incidence of bradycardia
Neonatal: Apgar score
Notes Hypotension was defined as a 20% fall in SBP from baseline.
Hypertension was defined as an increase of 20% from baseline.
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