Hahn 2003.
Methods | Randomized, double‐blinded, placebo‐controlled Medications administered after surgery and immediately before extubation |
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Participants | Type of surgery: laparoscopic sterilization Propacetamol group Entered/completing: 15/15 Age (mean, SD): 36 ± 4 Sex (male, %): 0 Placebo group Entered/completing: 16/16 Age (mean, SD): 37 ± 4 Sex (male, %): 0 |
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Interventions | Intervention: 40 mg/kg propacetamol Control: 20 mg/kg propacetamol (not included in our analysis) Control: 10 mg/kg propacetamol (not included in our analysis) 1 g propacetamol was dissolved in 5 ml of contained solvent and administered as bolus Placebo: normal saline |
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Outcomes | Opioid consumption (alfentanil via PCA) Postoperative pain at rest and with movement (10 cm VAS) |
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Source of funding | SmithKline Beecham, Denmark supported the study. The infusion pumps were supplied by Baxter, Denmark. | |
Were treatment groups comparable at baseline? | Yes: demographics and duration of anesthesia | |
Details of preoperative pain | Patients were excluded if they had a history of chronic pain | |
Notes | 40 mg/kg dose chosen in analysis as, based on participant weights, this would be closest dose to standard 2 g of propacetamol | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Blocked randomization |
Allocation concealment (selection bias) | Low risk | Sealed envelopes |
Blinding (performance bias and detection bias) All outcomes | Low risk | Drugs were administered by an anesthetist who had no further contact with the participant or study personnel |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Minimal number of dropouts; it appears that all other data reported for remaining participants and at all relevant time points |
Selective reporting (reporting bias) | Unclear risk | Time points not specified in Methods section for primary outcome; data pooled for different dosing regimens post 3 h |
Size | High risk | Fewer than 50 participants per arm of the study (15 propacetamol, 16 placebo) |