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

Costello 2006.

Methods Design: three group parallel trial 
 Purpose: study the effect of ethyl vinyl chloride spray on the pain associated with cannulation in children
Participants Patients: children (9 to18 years) undergoing cannulation 
 Baseline comparability: yes (age, gender ratio)
Interventions Placebo: isopropyl alcohol spray 
 Untreated: no spray 
 Experimental: ethyl vinyl chloride spray 
 (Co‐intervention: no)
Outcomes Pain intensity VAS
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk 'random number allocation'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'The investigators and nursing staff performin IV cannulation were blinded to the cannister's contents...'
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
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  
No signs of variance inequality or skewness? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? Low risk N = 90
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Not clearly concealed allocation