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

Massad 2006.

Methods Randomized controlled trial
Participants Age (years, mean ± SD): Group I = 38.2 ± 14.7, Group II = 40.3 ± 16.6, Group III = 43.6 ± 17.4, Group IV = 43.0 ± 16.7
Gender (M:F): Group I = 25:25, Group II = 16:35, Group III = 18:32, Group IV = 20:30
Inclusion criteria: age 15 years to 90 years old, ASA I‐III, minor elective surgery demanding laryngeal mask
Exclusion criteria: patients with difficulty in communication, not co‐operative, below 14 years, received any type of analgesia before arriving operating room including local anaesthesia, positive past history of hypersensitivity to anaesthetic agents or decompensated heart failure
Recruitment: 200 adult patients randomly assigned (50 in each group)
Setting: Jordan
Interventions Admixture
Pretreatment alone
Pretreatment with venous occlusion
200 patients, divided into four groups:
Group I the control group, 1% propofol alone
Group II 1% propofol premixed with 40 mg lidocaine
Group III 1% propofol 60 sec after 40 mg of lidocaine pretreatment
Group IV lidocaine 40 mg pretreatment venous occlusion
Pain was graded during induction
Outcomes Pain intensity assessed on 3‐point scale
0 = no pain
1 = pain
2 = pain with behavioural changes
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) Unclear risk N/A
Allocation concealment (selection bias) Unclear risk N/A
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk N/A
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk "Blinded by resident doctor as an outcome assessor."
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