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. 2018 Aug 21;2018(8):CD012317. doi: 10.1002/14651858.CD012317.pub2

Trembach 2012.

Methods RCT, parallel design, single‐centre
Participants Total number or randomized participants: 99
Included criteria
  1. ASA III patients with acute cholecystitis undergoing laparoscopic cholecystectomy


Excluded criteria
  1. Not reported (abstract only)


Type of surgery: laparoscopic cholecystectomy
Baseline characteristics not reported (abstract only)
Country: not reported
Setting: hospital
Interventions TIVA group
Participants: n = 45; 0 reported losses
Described as propofol‐fentanyl TIVA. No additional details in abstract
Inhalational maintenance group
Participants: n = 44; 0 reported losses
Described a VIMA. No additional details in abstract
Outcomes
  1. Hypotension (requiring support with phenylephrine)

  2. Induction time

  3. Time to intubation

  4. Time to recovery of consciousness

  5. Time to extubation

  6. Time to full orientation

  7. PONV

  8. Participant satisfaction

  9. Cost

  10. Cardiovascular events

Notes Funding/declarations of interest: not reported
Study dates: not reported
Very limited detail in abstract
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were randomly assigned to groups; no additional details
Allocation concealment (selection bias) Unclear risk No details. Abstract only
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not feasible to blind anaesthetists to intervention
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No details. Abstract only
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No details. Abstract only. We have assumed there were no losses
Selective reporting (reporting bias) Unclear risk Study authors do not report clinical trials registration. Not feasible to judge risk of selective outcome reporting
Other bias Unclear risk Limited detail in abstract, unable to assess risk of other biases. Description of inhalational maintenance does not include fentanyl/remifentanil