Turkoz 2002.
Study characteristics | ||
Methods | RCT | |
Participants | 30 women Inclusion criteria: healthy women at term undergoing elective CS under spinal anaesthesia Exclusion criteria: active labour, rupture of amniotic membranes, chronic or pregnancy‐induced hypertension, insulin‐dependent diabetes mellitus, multiple gestation, oligohydramnios and preoperative diagnosis of small for gestational age fetus |
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Interventions |
Ephedrine infusion versus ephedrine bolus Group 1: ephedrine infusion IV 5 mg/min commenced immediately after intrathecal injection Group 2: control – ephedrine bolus 10 mg administered if hypotension developed All women received standardised positioning, standardised crystalloid preload, a standardised spinal anaesthetic technique with the dose adjusted according to subject's height. |
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Outcomes | Maternal: hypotension); nausea and vomiting; BP; heart rate; arterial blood Neonatal: umbilical arterial blood; umbilical venous blood; heart rate; BP | |
Notes | Hypotension defined as 20% decrease from baseline (measured prior to fluid preload) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method not described |
Allocation concealment (selection bias) | Unclear risk | Sealed envelopes |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Blinding not stated |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinding not stated |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Losses to follow‐up: not stated |
Selective reporting (reporting bias) | Unclear risk | Unclear reporting |
Other bias | Unclear risk | Unclear reporting |