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. 2016 Feb 22;2016(2):CD000521. doi: 10.1002/14651858.CD000521.pub3

2. Anaesthetic agents for sedation or to produce general anaesthesia.

Study Sedative drugs for participants of the regional blockade group Anaesthetic agents for general anaesthesia
Berggren 1987 Premedication: Meperidine
No other sedative drugs mentioned as routinely administered for the surgery.
Premedication: Meperidine
Induction: Thiopental and atropine
Maintainance: Nitrous oxide, halothane and succinylcholine infusion
Biboulet 2012 None mentioned Subgroup 1
Induction: Propofol
Maintainance: Propofol infusion (for a bispectral index value of 50) and remifentanil
Subgroup 2
Induction: Sevoflurane
Maintainance: Sevoflurane (for a bispectral index value of 50) and remifentanil
Biffoli 1998 None mentioned Induction: Propofol
Maintainance: Nitrous oxide, isoflurane, fentanyl (intermittent injections) plus an atracurium infusion
Bigler 1985 Premedication: Pethidine
Small amounts of diazepam if needed
Premedication: Pethidine
Induction: Diazepam and atropine
Maintainance: Nitrous oxide, fentanyl and pancuronium
Bredahl 1991 Premedication: Pethidine
Diazepam for mild sedation
Premedication: Pethidine
Induction: Thiopental
Maintainance: Nitrous oxide, thiopental and pethidine
Brichant 1995 Not mentioned According to local practice
Brown 1994 Premedication: Tamazepam or pethidine
No drug supplementation during the surgery
Premedication: Tamazepam or pethidine
Induction: Thiopental or propofol
Maintainance: Nitrous oxide, isoflurane or enflurane and atracurium 0.5 mg/kg one dose
Cao 2008 Midazolam and fentanyl if required  
Casati 2003 One dose of fentanyl before the block
No other sedative drug routinely administered for the surgery.
Induction: Sevoflurane
Maintainance: Nitrous oxide, sevoflurane
Couderc 1977 Premedication: Hydroxyzine and atropine
None mentioned for the surgery
Premedication: Hydroxyzine and atropine
Induction: Thiopental
Maintainance: Nitrous oxide plus 1) Thiopental and dextromoramide or 2) methoxyflurane. One dose of pancuronium in some participants
Davis 1981 Ketamine 20‐25 mg (for eight participants) before the spinal
Ketamine at unspecified total doses during the surgery (two participants) or 25 mg at skin closure (two participants)
Diazepam (mean dose 9 mg; range 0‐35 mg)
Induction: Diazepam (mean dose 9.5 mg; range 2.5 to 30 mg)
Maintainance: Nitrous oxide, fentanyl and pancuronium
Davis 1987 Benzodiazepine (optional) Induction: Thiopental
Maintainance: Nitrous oxide, fentanyl and non‐depolarizing neuromuscular blocking agent
de Visme 2000 Alfentanil before the block and as required during the surgery. No mandatory sedative drugs mentioned. One patient in the continuous peripheral nerve block received "sedation repeatedly".  
Eyrolle 1998 Propofol as required  
Heidari 2011 None mentioned Induction: Thiopental
Maintainance: Nitrous oxide, fentanyl, halothane and one dose of pancuronium
Hoppenstein 2005 None mentioned Induction: Thiopental
Maintainance: Nitrous oxide, isoflurane, fentanyl and vecuronium
Ibanez 1993 Not reported Not reported
Juelsgaard 1998 Premedication: Pethidine
None mentioned for the surgery
Premedication: Pethidine
Induction: Thiopental
Maintainance: Nitrous oxide, enflurane, fentanyl and one dose of atracurium
Kamitani 2003 No sedative drug Induction: Propofol
Maintainance: Nitrous oxide, fentanyl, sevoflurane and one dose of vecuronium
Maurette 1988 None mentioned Induction: Thiopental
Maintainance: Nitrous oxide, dextromoramide and enflurane
McKenzie 1984 Small doses of diazepam Induction: Althesin
Maintainance: Nitrous oxide and halothane
McLaren 1978 Althesin and nitrous oxide; arousable by ear lobe pressure Induction: Althesin
Maintainance: Nitrous oxide, fentanyl and pancuronium one dose
Messina 2013 None mentioned Induction: Propofol
Maintainance: Sevoflurane, remifentanil and one dose of cisatracurium
Racle 1986 Premedication: Hydroxyzine and atropine
Flunitrazepam, verbal contact possible
Premedication: Hydroxyzine and atropine
Induction: Thiopental
Maintainance: Nitrous oxide, enflurane, fentanyl and one dose of vecuronium
Spreadbury 1980 No group with regional anaesthesia alone Ketamine group
Induction and maintenance: Ketamine and diazepam (2.5 to 10 mg)
Relaxant group
Technique at the discretion of the attending anaesthesiologist
Svarting 1986 Premedication: Pethidine and atropine
None mentioned for the surgery
Premedication: Pethidine and atropine
Induction: Thiopental
Maintainance: Nitrous oxide, fentanyl (repeated injections) and one dose of pancuronium
Tasker 1983 Not reported Not reported
Ungemach 1993 Not reported Induction: Not reported
Maintainance: Nitrous oxide, isoflurane and fentanyl
Valentin 1986 Premedication: Pethidine and promethazine in some of the participants
Small doses of diazepam and fentanyl
Premedication: Pethidine and promethazine in some of the participants
Subgroup 1
Induction: Thiopental or not
Maintainance: Nitrous oxide, enflurane and gallamine (not all participants)
Subgroup 2
Induction: Not clearly mentioned
Maintainance: Nitrous oxide, droperidol, fentanyl and gallamine
Wajima 1995 None mentioned Induction: Thiopental
Maintainance: Nitrous oxide and sevoflurane
White 1980 Premedication: Diazepam
Althesin, nitrous oxide and fentanyl (spontaneous breathing)
for the two subgroups
Premedication: Diazepam
Induction: Thiopental
Maintainance: Nitrous oxide, halothane and fentanyl