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. 2018 May 15;2018(5):CD004829. doi: 10.1002/14651858.CD004829.pub4

Ng 2001.

Methods Randomisation: computer‐generated
Allocation concealment: sealed envelopes
Blinding of participants/investigators: yes
Blinding of assessors: yes
No. randomised: 150
No. analysed: 150
Intention‐to‐treat analysis: yes
Power and sample calculations described
Duration of trial: not stated
Participants Women undergoing egg collection
Mean age: 35 years (range 27 to 43 years)
Cause of infertility: tuboperitoneal, male factor, endometriosis, unexplained
Similar demographic and infertility characteristics at baseline
Interventions
  1. Control: conscious sedation and analgesia (placebo with normal saline) and PCB (N = 75)

  2. Intervention: conscious sedation and analgesia with (IV diazepam 5 mg and pethidine 25 mg) and PCB (10 mL lidocaine; 1.5%) (N = 75)


Both groups received premedication (IM pethidine 50 mg and promethazine 25 mg)
Outcomes
  1. Primary: intraoperative pain score (VAS 0 to 100)

  2. Secondary: pregnancy rates, fertilisation, patient satisfaction (excellent, satisfactory, fair, or unsatisfactory)


Other outcomes reported: no. of embryos transferred, implantation rate, multiple pregnancy rate
Notes China
Single centre
University of Hong Kong
Funding: not stated
Definition of pregnancy not documented
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated
Allocation concealment (selection bias) Low risk Adequate: sealed envelopes
Blinding (performance bias and detection bias) 
 All outcomes Low risk Both participant and doctor carrying out the procedure were blind to the sedation given
Nurses not involved in the Unit asked participants about pain levels
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No loss to follow‐up
Selective reporting (reporting bias) Low risk All prespecified outcomes reported
Other bias Low risk Comparable demographic and infertility characteristics at baseline