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Incomplete outcome data (attrition bias) All outcomes | Low risk | The epidural catheter was retracted 1.5 cm for 1 participant in the EA group, who had a sufficient block level only unilaterally.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 |