Özen 2012.
Methods | Parallel design Funding: not stated Location: Turkey |
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Participants | Inclusion criteria: ASA 1; children with definitely or slightly negative behaviour ratings on the Frankl Behaviour Rating Scale and who had prior experience with sedation or general anaesthesia n = 240, 116 girls, 124 boys Age range = 4 to 6 years |
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Interventions | Group 1 (n = 60): midazolam (0.20 mg/kg) (40 mg/ml) intranasally, inhalation sedation 50%/50% nitrous oxide/oxygen Group 2 (n = 60): midazolam (0.75 mg/kg) (15 mg/3 ml) orally, inhalation sedation 50%/50% nitrous oxide/oxygen Group 3 (n = 60): midazolam (0.50 mg/kg) (15 mg/3 ml) orally, inhalation sedation 50%/50% nitrous oxide/oxygen Group 4 (n = 60): inhalation sedation 50%/50% nitrous oxide/oxygen |
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Outcomes | Bispectral Index System; modified scale to classify behaviour; Vancouver Recovery Scale | |
Notes | Restraint used | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding ‐ Participant | Unclear risk | Not described |
Blinding ‐ Operator/sedationist | Unclear risk | Not described |
Blinding ‐ Outcome assessor | Unclear risk | Not described |
Incomplete outcome assessment | High risk | Difficult to gather if dropouts had occurred. Percentage of patients that did not accept route of treatment mentioned |
Free of selective reporting | Low risk | All planned outcomes reported |
Free of other bias | High risk | Little information on participants in each group as baseline |
ASA I/ASA II = American Society of Anesthesiologists (ASA) physical status classification; BIS = bispectral index; DSTG = Dental SedationTeachers Group scale; ITT = intention‐to‐treat; IV = intravenous; LA = local anaesthesia; min = minute; RCT = randomised controlled trial; SD = standard deviation; SE = standard error.