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

Kohli 2013.

Study characteristics
Methods RCT
Participants 80 participants
Inclusion criteria: age 18‐35 years, ASA I‐II, CS under spinal anaesthesia
Exclusion criteria: contraindication to central neuraxial block, chronic hypertension, multiple pregnancy, diabetes mellitus, pregnancy‐induced hypertension, BMI > 30 kg/m²
Setting: India
Interventions Mechanical compression versus control
Group 1: sequential compression device used. The chambers of the device sequentially inflated from ankle to knee to a maximum pressure of 45‐50 mmHg at the ankle and 35 mmHg at the calf; the duration of compression was 12 s with a 60 s relaxation period between compressions
Group 2: no sequential compression device used
All women received "adequate" crystalloid preload, standardised monitoring, standardised spinal anaesthetic technique and dose.
All women had SCD put on legs, but only group 1 had their SCDs turned on.
Hypotension treated with 6 mg boluses of IV ephedrine.
Outcomes Maternal: incidence of hypotension, ephedrine use
No neonatal outcomes
Notes Hypotension was defined as decrease in SBP by > 20% from baseline.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
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 Unclear risk Not reported
Selective reporting (reporting bias) Unclear risk Not reported
Other bias Unclear risk Not reported