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

Singh 2014.

Methods Randomization and treatment allocation method: yes
Blinding of outcome assessment: no
Blinding of participants: no
Study period: not stated
Participants Number: 100 enrolled
Inclusion criteria: 1‐ to 8‐year‐old patients undergoing ophthalmological examination under anaesthesia
Exclusion criteria: seizure disorder, craniofacial abnormalities/difficult airway, cardiopulmonary or neuromuscular defects, hepatic or renal insufficiency, expected difficult intravenous cannulation
Interventions Midazolam 0.5 mg/kg orally about 30 minutes before induction of anaesthesia
Group 1: incremental sevoflurane (increased by 1% every 3 breaths) in 50% N2O with fresh gas flow of 6 LPM
Group 2: 8% sevoflurane with priming circuit in 50% N2O with 6 LPM
Outcomes Time to loss of consciousness (loss of eyelash reflex and jaw relaxation)
Time to intravenous cannulation and LMA insertion
Liquid sevoflurane consumed during induction and LMA insertion
Adverse events
Notes Location: not stated
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:"The patients were divided into 2 groups of 50 each using a computer‐generated table of random numbers"
Allocation concealment (selection bias) Unclear risk Information insufficient to permit judgement
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Information insufficient to permit judgement
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Information insufficient to permit judgement
Selective reporting (reporting bias) Unclear risk Quote: "The number of adverse events was also similar. The most common problem noted was temporary breath holding in both groups, which resolved spontaneously. One patient in the high‐concentration group experienced laryngospasm and was excluded from analysis because of change in the management plan"