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

Ristikankare 2006.

Methods Design: three group parallel group trial 
 Purpose: study the effect of sedation and topical pharyngeal anaesthesia on cardiorespiratory safety during gastroscopy
Participants Patients: patients undergoing gastroscopy 
 Baseline comparability: yes
Interventions Placebo: spray (NS) and injection (saline) 
 Untreated: no spray or sedation injection 
 Experimental: topical lidocaine spray or midazolam injection) 
 (Co‐intervention: NS)
Outcomes Heart rate 
 Blood pressure (diastolic and systolic) 
 Saturation of Oxygen
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'The patient, the endoscopist, and the endoscopy nurse were all blinded as to whether the patient received effective drug or placebo'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
Trial size > 49? Low risk N = 128
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed