Krogh 1994.
Methods | Single‐centre RCT | |
Participants |
Setting: a hospital in Odense, Denmark Inclusion criteria: ASA I‐II patients scheduled for elective major colonic surgery Participant numbers: 139 randomly assigned; 139 analysed |
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Interventions | Intervention: premedication comprised diazepam 0.2 mg/kg orally. Anaesthesia was induced with fentanyl 2 to 5 μg/kg intravenous. Propofol was given as a bolus dose of 1 mg/kg. All patients breathed 100% oxygen during induction. The patient's lungs were ventilated with oxygen via a face mask until the trachea had been intubated. Tracheal intubation was facilitated by administration of pancuronium 0.1mg/kg. Anaesthesia was maintained with fentanyl 2 to 4 μg/kg/h and propofol 1 to 2 mg/kg/h. The lungs of the patients were ventilated with nitrous oxide in oxygen. The inspiratory oxygen concentration was maintained at 30%. Neuromuscular block was maintained with pancuronium 1 to 2 mg if train‐of‐four showed one or two twitches. Before induction of anaesthesia, a lumbar extradural catheter was inserted and extradural bupivacaine given. Control: premedication comprised diazepam 0.2 mg/kg orally. Anaesthesia was induced with fentanyl 2 to 5 μg/kg intravenous. Propofol was given as a bolus dose of 1 mg/kg. All patients breathed 100% oxygen during induction. The patient's lungs were ventilated with oxygen via a face mask until the trachea had been intubated. Tracheal intubation was facilitated by administration of pancuronium 0.1mg/kg. Anaesthesia was maintained with fentanyl 2 to 4 μg/kg/h and propofol 4 to 6 mg/kg/h. The lungs of the patients were ventilated with oxygen and air. The inspiratory oxygen concentration was maintained at 30%. Neuromuscular block was maintained with pancuronium 1 to 2 mg if train‐of‐four showed one or two twitches. Before induction of anaesthesia, a lumbar extradural catheter was inserted and extradural bupivacaine given. | |
Outcomes |
Secondary outcomes: Length of hospital stay |
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Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Described as randomized but no further details. |
Allocation concealment (selection bias) | Unclear risk | No details given. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | This was not reported. |
Blinding of outcome assessment (detection bias) Inhospital case fatality rate/length of stay | Low risk | The outcome measurement is not likely to be influenced by lack of blinding. |
Blinding of outcome assessment (detection bias) Complications | Unclear risk | — |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No missing data. |
Selective reporting (reporting bias) | Low risk | All outcomes described in methods section reported. |
Other bias | Low risk | No other potential sources of bias were detected. |