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. 2015 Jul 29;2015(7):CD007399. doi: 10.1002/14651858.CD007399.pub2

Ab‐Rahman 2010.

Methods Randomized single‐blind control trial
Participants "Adult patients who presented to the ED for either brief or intensely painful procedures, having marked anxiety or requiring some degree of immobilization"
Interventions Group A: IV fentanyl 1 μg/kg as a titration dose and propofol 1 mg/kg followed by propofol 0.5 mg/kg if needed
Group B: IV fentanyl 1 μg/kg as a bolus dose and a titration dose of midazolam 0.1 mg/kg followed by midazolam 0.1 mg/kg if needed
Outcomes Level of sedation, vital signs, cardiorespiratory adverse effects
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "all 40 patients were selected by convenience sampling, and further randomization into two groups was carried out by using the computer‐generated random permuted blocks of four patients"
Allocation concealment (selection bias) Unclear risk No information to permit judgement of 'low risk' or 'high risk'
Incomplete outcome data (attrition bias) 
 All outcomes High risk There were 70 study participants in a published abstract of the study, but only 40 study participants in the final published study
Other bias Low risk Comment: no obvious "other bias" identified
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Quote: "the drugs were single blinded. They were supplied by the pharmacy department, wrapped individually and placed in an envelope. Each envelope was sealed and labelled accordingly as drug A or B. The operators, emergency physicians and residents in Emergency Medicine, including the main researcher, were unaware of the exact drug to be given until the envelope was opened"
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information to permit judgement of 'low risk' or 'high risk'