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. 2016 Jul 15;2016(7):CD001893. doi: 10.1002/14651858.CD001893.pub2

Rimaitis 2003.

Methods RCT
Approved by the local ethics committee of our institution; informed written consent was obtained from each patient
Setting: Lithuania
Funding: unspecified
Participants 100 patients (ASA 1 to 3) scheduled to undergo elective colorectal cancer surgery
Interventions Treatment group: TEA (T10‐L1 with the catheter advanced 4 cm passed the needle tip) with bupivacaine 0.1% and fentanyl 5 mcg/mL for 72 hours (n = 50)
Control group: IM pethidine analgesia (n = 50)
All participants received general anaesthesia
Outcomes VAS at rest at 24, 48 and 72 hours
VAS on movement (coughing) at 24, 48 and 72 hours
Vomiting (first day)
Leak
Hospital LOS
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "randomly", no details
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 All outcomes Low risk The epidural catheter was retracted 1.5 cm for 1 participant in the EA group, who had a sufficient block level only unilaterally. Another participant in the EA group had accidental withdrawal of an epidural catheter on the morning of the third postoperative day, and systemic analgesia was started
Selective reporting (reporting bias) Low risk All results provided
Other bias Low risk Groups well balanced