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

Gurses 2013.

Methods Parallel RCT
Ethics committee: approved by the Ethics Committee of the Medical School, Pamukkale University
Informed consents: written informed consent was received from each individual before entry into the study
Site: School of Medicine, Pamukkale University, Denizli, Turkey
Setting: university hospital
Dates of data collection: between July 2010 and January 2011
Funding: funded solely by the institution of the authors
Registration: unspecified
Participants 64 participants; mean age: 62.3; sex distribution: 18 females and 46 males
Inclusion criteria
  1. ASA II or III

  2. Aged 40 to 79 years

  3. Scheduled for elective CABG


Exclusion criteria
  1. Hypersensitivity towards any of the chemicals to be used

  2. Contraindication for epidural anaesthesia (dermal infection, nervous system disease, severe hypovolaemia, high intracranial pressure, severe aorta stenosis, severe mitral stenosis, etc.)

  3. History of vertebral surgery

  4. Cervical or thoracic vertebral arthritis

  5. Morbid obesity (BMI > 35), coagulopathy, < 40% ejection fraction, and preoperative inotropic agent usage

Interventions Intervention
  1. Epidural analgesia (N = 32)


Comparator
  1. Systemic analgesia (N = 32)


Induction: thiopental and rocuronium
Maintenance: sevoflurane and rocuronium
Surgery: CABG with CPB
Outcomes Relevant to this review
  1. Risk of neurological complications (epidural haematoma)

  2. Risk of atrial fibrillation or atrial flutter

  3. Tracheal extubation

  4. Haemodynamic variables


Others
  1. Analgesic requirements

  2. Blood transfusion requirement

  3. ICU length of stay

  4. Hospital length of stay

Notes Correspondence: email sent 16 March 2018; no reply
Conflict of interest: no conflict of interest
DOI: 10.12659/MSM.883861
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomly assigned to study groups by the closed envelope method
Allocation concealment (selection bias) Low risk Randomly assigned to study groups by the closed envelope method
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 provided
Other bias Low risk Study groups were similar in terms of demographic variables