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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Macaluso 1995.

Methods Design: three group parallel trial 
 Purpose: examine the effect of fentanyl as premedication
Participants Patients: in‐patients undergoing same day surgery 
 Baseline comparability: yes
Interventions Placebo: oralet without fentanyl 
 Untreated: no oralet 
 Experimental: oralet with fentanyl 
 (Co‐intervention: NS)
Outcomes Anxiety (Spielberger state trait anxiety inventory) 
 Heart rate 
 Volume and pH of gastric contents 
 Arterial pressure 
 Respiratory frequency 
 Oxygen saturation
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk 'by computer program'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'All investigators were blinded to the type of oralet patients in Groups I and II consumed...'
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? Low risk N = 60
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS