Reference 4

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

[4] Fentanyl IV: The South African Society of Anaesthesiologists. South African Society of Anaesthesiologists Sedation Guidelines, 2015. South Afr J AnaesthAnalg 2015;21(2)S1-S36.http://www.sasaweb.com/content/images/SAJAA_V21N2_1665_Sedation_Guideline.pdf

Fentanyl IV: Poulos JE, Kalogerinis PT, Caudle JN. Propofol compared with combination propofol or midazolam/fentanyl for endoscopy in a community setting. AANA J. 2013 Feb;81(1):31-6. http://www.ncbi.nlm.nih.gov/pubmed/23513321