Shoemaker 1988.
Methods | RCT Single centre |
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Participants | 88 patients Elective surgery Emergency surgery General surgery |
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Interventions | Preoperative Fluids and inotropes Pulmonary artery catheter Goals = CI, DO2I |
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Outcomes | Hospital mortality HLOS ICULOS Cost Respiratory failure, renal failure, sepsis and septic shock, hepatic failure, cardiac arrest, pulmonary oedema, pleural effusion, wound infection, disseminated intravascular coagulation (DIC), acute myocardial infarction, evisceration, abdominal abscess, haemorrhage, pancreatitis, gastric outlet obstruction, urinary tract infection, cerebral infarct, pulmonary embolism, ventilator days |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "The remaining 88 patients were prospectively allocated to one of the three groups designated by cards arranged according to a random numbers table by an outside person and placed in opaque sealed envelopes" |
Allocation concealment (selection bias) | Low risk | See quote above |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not detailed |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not detailed |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No missing data |
Selective reporting (reporting bias) | Low risk | All anticipated outcomes were reported |
Other bias | Low risk | No other sources of bias identified |