Carli 2001.
Methods | RCT Approved by the ethics committee and informed consent obtained Setting: Canada Funding: charity |
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Participants | 42 patients undergoing elective colorectal surgery Exclusion criteria included malnutrition, severe cardiopulmonary disease, sepsis, inflammatory bowel disease, chemotherapy or radiotherapy 6 months before surgery and inability to communicate and understand the aim of the project |
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Interventions |
Treatment group: TEA (T8‐T9) with bupivacaine 0.1% and fentanyl 2 mcg/mL for 4 ± 2 days after surgery (n = 21) Control group: IV PCA with morphine (n = 21) All participants received general anaesthesia |
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Outcomes | VAS on movement at 24, 48 and 72 hours Vomiting Time to first flatus Time to first faeces Hospital LOS |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | On the day of surgery, participants were allocated at random to 1 of 2 groups |
Allocation concealment (selection bias) | Unclear risk | Not mentioned |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not mentioned |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not mentioned |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No loss to follow‐up mentioned |
Selective reporting (reporting bias) | Low risk | All results reported |
Other bias | Low risk | Groups well balanced |