Schricker 2002.
Methods | RCT Approved by the ethics committee and informed consent obtained Setting: Canada Funding: charity |
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Participants | 16 patients with localized colorectal carcinoma scheduled for elective colorectal surgery None of the patients suffered from cardiac, hepatic, renal or metabolic disease |
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Interventions |
Treatment group: thoracic epidural anaesthesia/analgesia (T10‐T12) with bupivacaine 0.5% for a sensory level from T4 to S5 before surgery, bupivacaine 0.25% during surgery and bupivacaine 0.1% with fentanyl 2 mcg/mL after surgery (n = 8). Exact duration unspecified Control group: IV PCA with morphine (n = 8) All participants also received general anaesthesia |
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Outcomes | Pain scores at rest at 24 hours | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "The patients were allocated according to a computer‐generated randomization schedule" |
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 | 1 participant in the opioid group had to be excluded from further analysis because he inadvertently did not receive amino acids (because of an error made by pharmacy preparing the feeding solutions) |
Selective reporting (reporting bias) | Low risk | All results provided |
Other bias | Unclear risk | Groups well balanced No cross‐over mentioned Not in intention‐to‐treat |