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. 2016 Feb 18;2016(2):CD007874. doi: 10.1002/14651858.CD007874.pub2

Lu 2013.

Methods Double‐blind randomized controlled trial
Participants Age (years, mean ± SD): Group CON = 50 ± 12, Group LID = 47 ± 13, Group DEZ = 47 ± 13
Gender (M:F): Group CON = 12:13, Group LID = 13:12, Group DEZ = 11:14
Inclusion criteria: age 16 years to 65 years, ASA I and II, scheduled for elective surgery under general anaesthesia were recruited for the study
Exclusion criteria: patients with a history of renal or hepatic insufficiency, hypersensitivity to the study drugs, neurological or cardiovascular disease and patients with obesity, difficult airway, pregnant patients and patients on medication with pain modifying drugs
Recruitment: 75 adult patients were randomly assigned (25 patients in each group)
Setting: China
Interventions Pretreatment alone
A total of 75 patients were randomly assigned to one of the three groups, thus
Group CON, received 2 ml of normal saline
Group LID, received 2 ml of 2% lidocaine (40 mg)
Group DEZ, received 2 ml of dezocine 2 mg as pretreatment
Propofol was injected 1 min later
Outcomes Pain intensity assessed on 4‐point scale
0 = no pain
1 = mild pain
2 = moderate pain
3 = severe pain
Outcomes reported and used
  1. Incidence of high‐intensity pain

  2. Incidence of pain


Outcomes sought but not reported
  1. Adverse effects

  2. Patient satisfaction

Notes Period of the study: dates not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Group randomization was done according to the computer software generated random numbers"
Allocation concealment (selection bias) Unclear risk N/A
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk N/A written only double blind
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk "An anaesthesiologist blinded to the intervention evaluated the pain level using a four‐point verbal rating scale (VRS) during injection of propofol."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No withdrawals
Selective reporting (reporting bias) Unclear risk N/A
Other bias Low risk The study appears to be free of other sources of bias