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. 2017 May 11;2017(5):CD001159. doi: 10.1002/14651858.CD001159.pub2

Domac 2015.

Methods RCT
Approved by the ethics committee and informed consents obtained
Setting: Turkey
Funding: departmental
Participants 40 ASA I‐III participants aged 65 to 80 years undergoing femoral fracture repair under spinal anaesthesia
Excluded: patients < 65 years of age or > 80 years of age, with peripheral neurological disease, mental
disorders, allergy to amide local anaesthetics, coagulation/haemostasis diseases, moderate or severe liver or kidney failure, contraindication to or refusing fascia iliaca block
Interventions Treatment group: fascia iliaca block with 15 mL of 0.5% bupivacaine and 15 mL of 2% lidocaine (n = 20)
Control group: no block (n = 20)
Spinal anaesthesia for surgery and IV patient‐controlled analgesia with morphine for postoperative analgesia for all participants
Outcomes Pain at rest and on movement (positioning for spinal) and after surgery
Opioids requirements for the first 4 and 48 hours
Participant satisfaction
Notes SD of 0.00 entered as 0.001
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "divided into two equal groups for this prospective double‐blind study", no details
Allocation concealment (selection bias) Unclear risk Not mentioned
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants in control group received no block
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Study is said to be double‐blinded. No sham block reported. Unclear who was the outcome assessor for pain scores
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No drop‐out
Selective reporting (reporting bias) Low risk All measurements mentioned in methods section given in results section
Other bias Low risk Groups well balanced