Tuncer 2003.
Methods | RCT Approved by the ethics committee and informed consents obtained Setting: Turkey Funding: unspecified |
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Participants | Orthopaedic hospital in Konya, Turkey
40 participants with a hip fracture undergoing surgery for a trochanteric hip fracture
Mean age: 59 years (range not stated)
Percentage male: not stated
Lost to follow‐up: none Excluded: coagulation abnormality, age < 18 or > 80 years, weight < 50 or > 100 kg, known allergy to bupivacaine or opioids, previous analgesic treatment with opioids, inability to understand pain scales or use a patient‐controlled analgesia device |
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Interventions | All participants had general anaesthesia with fentanyl, propofol atracurium, nitrous oxide, isoflurane. At completion of the operation, participants had: Treatment group: femoral (3‐in‐1) nerve block with 30 mL 2% lidocaine with 2% epinephrine 1:200,000, followed by continuous infusion with 0.125% bupivacaine for 48 hours (n = 20) Control group: patient‐controlled analgesia with morphine (control) (n = 20) |
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Outcomes | Participant satisfaction (rated as excellent, good, moderate or poor; we attributed scores from 1 to 4 to compare the data) | |
Notes | Length of follow‐up: 48 hours Email sent to study authors on 24 May 2015, to ask for additional information; no reply |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomized at completion of surgery, method unspecified |
Allocation concealment (selection bias) | Low risk | Randomized after inclusion |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not mentioned |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not mentioned |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Two missing results for participant satisfaction |
Selective reporting (reporting bias) | Low risk | All measurements mentioned in methods section given in results section |
Other bias | Low risk | Groups well balanced |