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. 2018 Dec 20;2018(12):CD012033. doi: 10.1002/14651858.CD012033.pub4

Papaziogas 2001.

Study characteristics
Methods Randomised, double‐blind. Ketamine IV + ropivacaine SC vs ropivacaine SC
Participants N = 55, of whom 35 participants in IV ketamine and control treatment arms
Interventions Pre‐incisional bolus of ketamine 1 mg/kg IV
Outcomes Pain intensity (VAS, VRS) reported at baseline, at 3, 6, 12, 24 and 48 h postoperatively. Analgesic consumption reported at 48 h postoperatively. Rescue analgesia. Time to first request for analgesia. AEs
Surgery type Elective laparoscopic cholecystectomy
Group numbers after end of study (treatment/control) 18/17
Age of patient population (treatment/control) 41.3 ± 13.6
47.9 ± 16.7
Notes Third group received saline IV and saline SC. No mention of sponsorship or funding
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation not described
Allocation concealment (selection bias) Unclear risk Allocation concealment method not described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Blinding process not described
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Blinding process not described
Incomplete outcome data (attrition bias)
All outcomes Low risk 4% was withdrawn
Selective reporting (reporting bias) Low risk Predefined outcomes reported
Size High risk 18, 17 and 18 participants per treatment arm