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

McCulloch 1985.

Methods Randomized controlled trial
Participants Age (years, mean (range)): Group A = 35 (19 to 54), Group B = 37 (19 to 65), Group C = 35 (16 to 65), Group D = 32 (18 to 65)
Gender (M:F): Group A = 6:34, Group B = 5:35, Group C = 9:31, Group D = 1:39
Inclusion criteria: age 16 years to 65 years old, ASA I‐II, minor elective surgery
Exclusion criteria: pregnancy, weight more than 10% above expected body weight
Recruitment: 160 adult patients randomly assigned (40 in each group)
Setting: United Kingdom
Interventions Pretreatment alone
Group A (n = 40): IV at dorsum of hand, propofol 2.5 mg/kg
Group B (n = 40): IV at forearm/antecubital fossa, propofol 2.5 mg/kg
Group C (n = 40): IV at dorsum of hand, lidocaine 10 mg pretreated followed by propofol 2.5 mg/kg
Group D (n = 40): IV at dorsum of hand, thiopental 4.5mg/kg (without propofol)
Outcomes Pain was assessed on 3‐point scale
0 = no pain
1 = other sensations e.g.. tingling, numbness, cold and warmth
2 = pain
Outcomes reported and used
  1. Incidence of pain

  2. Adverse effects


Outcomes sought but not reported
  1. Incidence of high‐intensity pain

  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 "The position of IV in group B were different. The appearance of thiopental and propofol were also different. However, only the result of group A and group C were analyzed, where the position of venous access and the appearance of drug solution were similar."
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk N/A
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No withdrawals
Selective reporting (reporting bias) Unclear risk N/A
Other bias High risk The authors would like to thank I.C.I. pharmaceuticals for supplying propofol