Yorozu 2002.
Study characteristics | ||
Methods | RCT | |
Participants | 67 women Inclusion criteria: without toxaemia, undergoing caesarean under spinal anaesthesia Setting: Japan |
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Interventions |
Colloid preload versus crystalloid preload Group 1: HES starch 1% dextrose (n = 32) Group 2: Ringer's lactate (n = 35) For all women IV infusion was commenced at arrival in the operating room and continued until delivery All women received a standardised spinal anaesthetic technique with dose adjusted according to subject's height, and standardised surgical positioning |
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Outcomes |
Maternal: pain; time from incision to birth; hypotension; ephedrine dose; duration of hypotension; level of block; blood loss Neonatal: Apgar score; birthweight; blood pH; pO2; pCO2; BE; blood sugar; haemoglobin |
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Notes | Hypotension was defined as SBP < 90 mmHg | |
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 | Paediatricians blinded for Apgar scores |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not reported |
Selective reporting (reporting bias) | Unclear risk | Not apparent, but not well reported |
Other bias | Unclear risk | Not apparent, but not well reported |
ANP: atrial natriuretic peptide; ASA: American Society of Anesthesiologists Classification; BE: base excess; BMI: body mass index; BP: blood pressure; bpm: beats per minute; cc: cubic centimetre, equivalent to 1 mL; CS: caesarean section; CSE: combined spinal‐epidural; CSF: cerebrospinal fluid; CTG: cardiotocography; CVP: central venous pressure; DBP: diastolic blood pressure; DVT: deep vein thrombosis; ET‐1: enothelin‐1; GA: general anaesthetic; HES: hydroxyethyl starch; IDC: in‐dwelling catheter (urinary catheter); IVT: intravascular transfusion; IM: intramuscular; IV: intravenous; LSCS: lower segment caesarean section; MAP: mean arterial pressure; NACS: neurologic and adaptive capacity score; NICU: neonatal intensive care unit; NS: normal saline; pO2: partial pressure of oxygen; pCO2: partial pressure of carbon dioxide; RCT: randomised controlled trial; SAB: sub‐arachnoid block; SAP: systolic arterial pressure; SBP: systolic blood pressure; SCD: sequential compression device; SD: standard deviation; SEM: standard error of mean; SpO2/SaO2: oximetry; SST: supine stress test; TED: thromboembolic deterrent; w/v: weight/volume; 0.9% NaCl/ 0.9% NS: 0.9% sodium chloride, normal saline.