Ueyama 1999.
Study characteristics | ||
Methods | RCT | |
Participants | 36 women Inclusion criteria: healthy full‐term parturients scheduled for elective caesarean during spinal anaesthesia Exclusion criteria: abruptio placenta, placenta praevia, multiple gestation, pre‐eclampsia, or women who were receiving ritodrine or other beta‐tocolytics |
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Interventions |
Colloid preload versus crystalloid preload Group 1: 500 mL HES 6% Group 2: 1000 mL HES 6% Group 3: 1500 mL Ringer's lactate All solutions were infused over 30 min before injection of spinal anaesthesia. All women received a standardised spinal anaesthetic technique and dose. |
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Outcomes | Maternal: hypotension; blood volume; cardiac output | |
Notes | Hypotension defined as defined as decrease in SBP to less than 100 mmHg and less than 80% of baseline value | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation by random envelope method |
Allocation concealment (selection bias) | High risk | No allocation concealment. Infusion bottle shape different between study groups |
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 | Losses to follow‐up: not stated |
Selective reporting (reporting bias) | Unclear risk | Not apparent, but not well reported |
Other bias | Unclear risk | Not apparent, but not well reported |