Reference 24

Level I Good quality evidence Systematic review of RCTs with
consistent findings
High quality individual RCT
Level II Limited quality patient
orientated evidence
Systematic review of lower quality
studies or studies with inconsistent
findings
Low quality clinical trial
Cohort studies
Case-control studies
Level III Other Consensus guidelines, extrapolations
from bench research, usual practice,
opinion, disease-oriented evidence
(intermediate or physiologic outcomes
only), or case series

[24] Hyoscine butylbromide, SC/IM, (respiratory secretions): National Department of Health: Affordable Medicines, EDP-Adult Hospital Level. Medicine Review: Hyoscine butylbromide for management of respiratory secretions in adult palliative care patients, December 2017. http://www.health.gov.za/

Hyoscine butylbromide, SC/IM, (respiratory secretions): NICE guideline: Care of dying adults in the last days of life, 16 December 2015. Available at: https://www.nice.org.uk/guidance/ng31

Hyoscine butylbromide, SC/IM, (respiratory secretions): NHS Lanarkshire Palliative Care Guidelines, March 2012. [Internet] [Accessed January 2018] Available at: http://www.nhslanarkshire.org.uk/Services/PalliativeCare/Documents/NHS%20Lanarkshire%20Palliative%20Care%20Guidelines.pdf

Hyoscine butylbromide, SC/IM, (respiratory secretions): Waitemata District Health Board Palliative Care Guidelines: Hyoscine N-Butylbromide, subcutaneous, April 2016. [Internet] [Accessed January 2018] Available at: http://www.waitematadhb.govt.nz/health-professionals/medicines/palliative-care-guidelines/