Miller 2002.
Methods | Prospective randomized controlled trial. | |
Participants | Patients aged 18 to 70 years with an acute anterior shoulder dislocation. | |
Interventions | The IAL group received an intraarticular injection of 20 ml of 1% lignocaine into the affected shoulder. The IVAS group received an 2 mg midazolam and 100 µg fentanyl intravenously, respectively. | |
Outcomes | Rate of successful reduction, pain as rated on a visual analogue scale, time required for the reduction, time from reduction until discharge from the emergency department and cost. | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Quote: “those with a odd medical record number received a local intra‐articular injection of lidocaine whereas those with an even medical record number received intravenous sedation”. |
Allocation concealment (selection bias) | High risk | Published study does not provide information regarding allocation concealment. Comment: the nature of the interventions is such that allocation concealment is not feasible. |
Blinding (performance bias and detection bias) All outcomes | High risk | Published study does not provide information regarding allocation concealment. Comment: the nature of the interventions is such that blinding is not feasible. |