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. 2012 Sep 12;2012(9):CD006616. doi: 10.1002/14651858.CD006616.pub2

Ortolani 2000b.

Methods Randomised controlled trial
Participants ARDS patients
Interventions iv N‐acetylcysteine 50 mg/kg bolus 8 hourly for 9 days versus placebo (5% dextrose). Third group received 50 mg/kg N‐acetylcysteine plus rutin 5mg/kg, but this data is not included
Outcomes lipid peroxidation, glutathione levels
Notes Only iv N‐acetylcysteine and placebo group data are analysed
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk States "patients were randomly assigned" but no method described.
Allocation concealment (selection bias) High risk No data.
Blinding (performance bias and detection bias) 
 All outcomes High risk Non‐blinded trial.
Selective reporting (reporting bias) Low risk  
Other bias Low risk