Tuncel 2012.
Methods | Local wound infiltration versus IV paracetamol versus IV lornoxicam 30 min before extubation. Additional analgesia with tramadol and as required pethidine. | |
Participants | Type of surgery: laparoscopic renal and adrenal surgery Paracetamol group Entered/completing: 20/not reported Age (mean, SD): not reported Sex (male, %): not reported Lornoxicam group Entered/completing: 20/not reported Age (mean, SD): not reported Sex (male, %): not reported |
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Interventions | Paracetamol 1 g 30 min before extubation, then 5 g in 24 h postop, frequency/timing not reported 0.25% levobupivacaine infiltration to trocar incisions (not included in our analysis) Lornoxicam: 8 mg IV 30 min before extubation and another 8 mg during 24 h postop. Frequency not reported. |
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Outcomes | Primary: pain VAS scores Secondary: cumulative tramadol and pethidine consumption |
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Source of funding | Not reported | |
Were treatment groups comparable at baseline? | Not reported | |
Details of preoperative pain | Not reported | |
Notes | Abstract | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | High risk | Not reported, and not stated to be unblinded |
Blinding (performance bias and detection bias) All outcomes | High risk | Not stated that study was blinded |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Unclear how many participants completed the study |
Selective reporting (reporting bias) | High risk | Most of the outcomes not reported |
Size | High risk | Fewer than 50 participants per arm of the study (20 paracetamol, 20 lornoxicam) |