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. 2016 Mar 11;2016(3):CD005563. doi: 10.1002/14651858.CD005563.pub3

Stoppe 2013.

Methods Design: Randomised controlled trial
Date of study: Study dates not reported
 Power calculation: Yes
 Frequency of outcomes assessment: daily postoperatively
Inclusion criteria: undergoing elective isolated coronary artery bypass grafting (CABG) with the use of cardiopulmonary by‐pass (CPB); age > 50 years; ASA physical status II‐IV; preserved cardiac function (left ventricular ejection fraction > 50%) and EuroSCORE < or equal to 8
 Exclusion criteria: cardiac, respiratory, liver or renal failure; acute coronary syndrome within 24 hours before surgery; haemodynamic instability; emergency operations; lack of informed consent; severe neurological dysfunction; depression; a geriatric depression score (GDS) > 5; MMSE <24; patients with a predisposition to malignant hyperthermia and/or hypersensitivity to the study drugs; women with childbearing potential or pregnancy.
Participants Number in study: 30
Country: Germany
 Setting: Cardiac surgery inpatients
Age: Mean age 66 (48‐81) in xenon group; 68 (51‐79) in sevoflurane group
Sex: 80% of both groups were male
 Co‐morbidity: not reported at baseline
 Dementia: MMSE< 24 were excluded
Interventions Both groups received induction of anaesthesia with propofol and sufentanil. Muscle relaxation was obtained with rocuronium. Anaesthetic depth was adjusted by titration of end‐expiratory xenon or sevoflurane concentrations according to changes in physiological parameters and BIS values. During CPB, patients received a propofol infusion instead of xenon or sevoflurane.
Xenon: Maintenance of anaesthesia was achieved by continuous infusion of sufentanil and xenon (end‐expiratory concentrations of 45‐50 vol%)
Sevoflurane: Maintenance of anaesthesia was achieved by continuous infusion of sufentanil and sevoflurane (end‐expiratory concentrations of 1‐1.4 vol%)
Outcomes 1. Incidence of delirium, using CAM‐ICU
2. Mortality
3. Length of stay
4. Adverse events
Notes Funding source: Deutsche Forschungsgemeinschaft (DFG) grants
Declarations of interest: "MC and RR received lecture and consultant fees from Air Liquide Sante International, a company interested in developing clinical applications for medical gases, including xenon"
Delirium not clearly excluded at enrolment
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Method not described
Random sequence generation (selection bias) Unclear risk Method not described, states patients "randomly assigned to receive...."
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants and staff not clearly blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcome assessments conducted by trained study scientists blinded to allocation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All randomised patients were included in the analysis
Selective reporting (reporting bias) Low risk Protocol registered on ClinicalTrials.gov and trial reported in accordance with published protocol
Other bias Low risk No evidence of other bias