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. 2007 Apr 18;2007(2):CD002765. doi: 10.1002/14651858.CD002765.pub3

Perttunen 1992.

Methods Double‐blind, randomised, placebo controlled trial. 
 Randomisation method: not stated. 
 No patients withdrew from study. 
 No power calculation.
Participants 30 (24 males, 16 females) patients undergoing thoracotomy. 
 Exclusions: aged more than 75 years; clinically manifest cardiac, renal or hepatic failure; history of gastrointestinal bleeding or peptic ulceration, haemorrhagic diathesis and asthma or allergy to aspirin or diclofenac; confusion, estimated preoperative FEV1<1 L/s.
Interventions Rx: diclofenac 25 mg IV bolus on arrival into recovery room then 2 mg/kg IV infusion for 48 hours
 Pl: saline infusion started with bolus dose of 25 mL in 15 minutes and continued with a constant rate of 2 mL/kg/d for 48 hours.
Outcomes Pre‐operative and post‐operative serum creatinine, proportion of patients with urine output less then 100 mL during Day 1.
Notes No pre‐operative urine output measure.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear