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. 2019 Mar 1;2019(3):CD006715. doi: 10.1002/14651858.CD006715.pub3

Fawcett 1997.

Methods Parallel RCT
Ethics committee: approved by the Local Research Ethics Committee
Informed consents: written informed consents obtained
Site: St. George's Hospital Medical School, Cranmer Terrace, London, UK, and Queen's Medical Centre, University of Nottigham, Nottingham, UK
Setting: university hospital
Dates of data collection: unspecified
Funding: unspecified
Registration: unspecified
Participants 16 male participants; mean age: 61.5 years; sex distribution: 16 males
Inclusion criteria
  1. Scheduled for elective CABG


Exclusion criteria
  1. Aspirin within 10 days

  2. Receiving warfarin or heparin or with abnormal coagulation study results

  3. BMI > 30 kg/m²

  4. Neurological disease

  5. Poor LVEF

  6. Reversible airway obstruction

Interventions Intervention
  1. Epidural analgesia (N = 8)


Comparator
  1. Systemic analgesia (N = 8)


Premedication: morphine and hyoscine
Induction: fentanyl, thiopentone, and suxamethonium
Maintenance: nitrous oxide, pancuronium, and midazolam
Surgery: CABG with CPB
Outcomes Relevant to this review
  1. Tracheal extubation

  2. Pain scores

  3. Haemodynamic variables


Others
  1. Catecholamine blood levels

  2. Lung function tests

Notes Correspondence: letter sent 16 March 2018; no reply
Conflict of interest: not reported
DOI: n/a
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomly assigned"; no details
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No loss to follow‐up
Selective reporting (reporting bias) Low risk All results reported
Other bias Unclear risk No failed epidural
Groups well balanced except for CPB time: 107 minutes for TEA vs 78 minutes for no epidural