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

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
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.
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