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

Kilickan 2006.

Methods Parallel RCT
 Ethics committee: approved by the institutional review committee
 Informed consents: patient consents were obtained
 Site: Kocaeli University School of Medicine, Kocaeli, Turkey
 Setting: university hospital
 Dates of data collection: unspecified
 Funding: unspecified
 Registration: unspecified
Participants 80 participants; mean age: 59.9 years; sex distribution: 16 females and 64 males
Inclusion criteria
  1. Undergoing elective CABG with CPB


Exclusion criteria
  1. Compromised coagulation (thromboplastin time < 80%, prothrombin time > 40 seconds, or platelets < 100 nL)

Interventions Intervention
  1. Epidural analgesia with LVEF ≤ 0.4 (N = 20) or > 0.4 (N = 20)


Comparator
  1. Systemic analgesia with LVEF ≤ 0.4 (N = 20) or > 0.4 (N = 20)


Premedication: midazolam
 Induction: midazolam, fentanyl, and vecuronium
 Maintenance: nitrous oxide, propofol, and fentanyl
 Suregry: CABG with CPB
Outcomes Relevant to this review
  1. Risk of mortality

  2. Risk of myocardial infarction

  3. Risk of atrial fibrillation or atrial flutter

  4. Tracheal extubation

  5. Pain scores

  6. Haemodynamic variables


Other
  1. Right atrial biopsies

Notes Correspondence: email 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) Low risk Randomly distributed sealed envelopes
Allocation concealment (selection bias) Low risk Sealed envelopes
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Study was not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Study was not blinded
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 Low risk No failed epidural
 Groups well balanced