Jeon 2012.
Methods | Double‐blind randomized controlled trial | |
Participants | Age (years, mean ± SD): Group 1 = 48 ± 14.5, Group 2 = 50 ± 13.5, Group 3 = 45 ± 14.5 Gender (M:F): Group 1 = 13:17, Group 2 = 14:16, Group 3 = 14:16 Inclusion criteria: Age 19 years to 60 years old, ASA I‐II, elective plastic surgery Exclusion criteria: patients with cardiovascular, hepatic, or renal problems; patients who had received analgesic or sedative medications within 24 hours before the surgery; patients with neurological deficits or psychiatric disorders; and patients requiring a rapid sequence induction Recruitment: 90 adult patients randomly assigned (30 in each group) Setting: Korea |
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Interventions |
Pretreatment with venous occlusion Patients were allocated randomly to three groups, to receive lidocaine 20 mg, Group 1 (n = 30), a combination of lidocaine 20 mg and nitroglycerin 0.1 lg/kg Group 2 (n = 30), normal saline as a placebo Group 3 (n = 30), with venous occlusion for 1 min followed by the administration of 25 % of the total calculated dose of propofol (2 mg/kg) into a dorsal hand vein |
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Outcomes | Pain intensity assessed on 4‐point scale 0 = no pain 1 = mild pain (pain in response to questioning only without any behavioural signs) 2 = moderate pain (pain in response to questioning and accompanied by behavioural sign or pain reported spontaneously without questioning) 3 = severe pain (strong vocal response or response accompanied by facial grimacing, arm withdrawal, or tears) Outcomes reported and used
Outcomes sought but not reported
Outcomes reported but not used
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Notes | Period of the study: dates not reported | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | N/A |
Allocation concealment (selection bias) | Low risk | a sealed envelope technique |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | "An anaesthesiologist not involved in this study prepared identically coded syringes." |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | "Blinded investigator for any complications such as pain, edema, or a wheal and flare response." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No withdrawals |
Selective reporting (reporting bias) | Unclear risk | N/A |
Other bias | Low risk | This research was supported by Kyungpook National University Research Fund, 2010. The study appears to be free of other sources of bias |