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To avoid bias, randomization was stratified by using a separate set of randomization envelopes for each of the standard spinal anesthetic techniques. Technique 2: 2 ml of spinal levobupivacaine 0. Technique 3: 2 ml of spinal levobupivacaine 0. The height of neural blockade to cold sensation was measured using ethyl chloride spray at 10-min postspinal and at skin incision. The target block height was above T5. An epidural top-up, using 0. Immediately following the spinal injection the infusion of intravenous vasopressor solution was started, using a Graseby Medical 3400 Anesthesia Pump (Graseby Medical Limited, Colonial Way, Watford, Herts, WD2 4LG, United Kingdom), and adjusted according to a standard protocol.
The patients were then placed in the supine position with standard left lateral tilt. Systolic arterial pressure and heart rate were measured every minute following spinal anesthesia using the same automated oscillometer that was used for the baseline blood pressure. The trial solution was given via a Y-connector into the same intravenous cannula as the Hartmann solution.
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These four patients were included for analysis of other variables. The groups were well matched for age, height, weight, gestation, breech presentation, previous cesarean delivery, and birth weight (table 1). The trial infusions were controlled, and all data were collected by one of four investigators (table 2). Results are expressed as median (IQR). The systolic arterial pressure was also similar over time for the three groups (fig.
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