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. 2016 Jun 29;2016(6):CD006837. doi: 10.1002/14651858.CD006837.pub3

Mendonca 2001.

Methods Randomization and treatment allocation method: yes
Blinding of outcome assessment: unclear
Blinding of participants: no
Study period: not stated
Participants Number: 60 enrolled
Inclusion criteria: ASA physical status II to III patients scheduled to undergo general anaesthesia, 50 years of age and older with a history of smoking 10 cigarettes a day for 20 years
Exclusion criteria: severe cardiovascular disease, morbid obesity, allergy to inhalational anaesthetics, requiring rapid sequence induction
Interventions No pre‐medication and a Mapleson D breathing system
Group 1: 8% vital capacity breathing in 66% N2O
Group 2: 8% tidal breathing in 66% N2O
Group 3: incremental tidal breathing sevoflurane in 66% N2O
Outcomes Time to dropping the weighted syringe
Induction event (single cough, laryngospasm, breath holding, movement of a limb, excessive salivation, hypotension and hypoxia were recorded)
Smell of the anaesthetic
Notes Location: UK
Setting: operating room
Source of funding: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "...patients were randomly allocated using sealed envelopes to one of the three breathing techniques"
Allocation concealment (selection bias) Low risk Quote: "...patients were randomly allocated using sealed envelopes to one of the three breathing techniques"
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not stated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data
Selective reporting (reporting bias) Low risk Study authors reported all planned outcomes