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. 2015 Aug 10;2015(8):CD007082. doi: 10.1002/14651858.CD007082.pub2

Thomas 2012.

Methods Randomized controlled trial
Participants N = 216, children aged 1 to 16 years, ASA I‐II, undergoing non‐airway surgery.
Interventions Four groups for LMA removal ‐ Group 1: early removal in lateral position; Group 2: late removal in lateral position; Group 3: early removal in supine position; Group 4: late removal in supine position
Early removal ‐ The LMA was removed in deep plane of anaesthesia
Late removal ‐ The LMA was removed when the patients were awake after anaesthesia
Outcomes Laryngospasm
Desaturation
Upper airway obstruction
Vomiting
Excessive secretions
Biting the stem of the LMA
Notes This trial is published as an abstract. There is no contact information for the authors
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk COMMENT ‐ The details of randomization process are not specified
Allocation concealment (selection bias) Unclear risk COMMENT ‐ Allocation concealment not specified
Blinding (performance bias and detection bias) 
 Of outcome assessor to all outcomes Unclear risk COMMENT ‐There is no mention of the blinding of the observer
Incomplete outcome data (attrition bias) 
 All outcomes Low risk COMMENT ‐ 216 patients were enrolled, 4 patients were excluded for anaesthetic reasons and outcome data are reported in 212 patients
Selective reporting (reporting bias) Unclear risk COMMENT ‐ 6 outcome variables are mentioned in methodology while three of them are not reported in the results. It is unclear if the variable "Number of complications" includes all of them