In an e to compare two different surgical procedures for hernia repair,t 89 chil
ID: 3057465 • Letter: I
Question
In an e to compare two different surgical procedures for hernia repair,t 89 children were assigned at random to one of the two surgical methods. The methods studied were laparoscopic repair and open repair. In laparoscopic repair, three small incisions are made and the surgeon works through these incisions with the ald of a smal camera that is inserted through one of the incisions. In the open repair, a larger incision is used to open the abdomen. One of the response variables in this study was the amount of m fentanyl (1 /kg) and for nausea, ondansetron (0.1 mg/kg) were given as judged necessary by the attending nurse blinded to the operative approach." n that was given after the surgery for the control of pain and nausea. The paper states "For postoperative pain, rescue (a) Why do you think it was important that the nurse who administered the medications did not know which type of surgery was performed? O It is possible that nurses may have preconceived notions about the two forms of surgery and refuse to give medication to the laparoscopic repair patients. It is possible that nurses may have preconceived notions about the two forms of surgery and refuse to give medication to the open repair patients. O It is possible that the nurses might have had preconceived notions about the two forms of surgery and the amounts of medication needed and could skew the results. O It is possible that the patients would have preconceived notions about their form of surgery and demand more medication for the open repair. It is possible that the patients would have preconceived notions about their form of surgery and (b) Explain why it was not possible for this experiment to be double-blind O Since the two procedures can't both be performed on the same patient, the patients and/or their parents Since the incisions made under the two procedures are the same, the patients since the incisions made under the two procedures are different, the patients and/or their parents Since the two drugs used for the since the surgeon was different for the two procedures, the patients and/or their parents would know which demand more medication for the laparoscopic repair and/or their parents would know which method had been used would know which method had been used two procedures are different, the patients and/or their parents would know which method had been used. know which method had been used their parents Type here to searchExplanation / Answer
a)
Option C
It is possible that the nurses might have had preconceived notions about the two form of surgery and the amount of medication needed and could skew the result
As nurses can give more or less dose according to the previous experience irrespective of pain.
b)
Option c
Since the incision made under the ...... which method has been used
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