RESUMO
A shortcut review was carried out to establish whether pretreatment with intravenous lignocaine is of benefit in asthmatic patients undergoing rapid sequence intubation (RSI). Altogether 157 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date, and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated (table 3). It is concluded that there is no good evidence to support the use of lignocaine in this circumstance.
Assuntos
Anestésicos Locais/uso terapêutico , Intubação Intratraqueal/efeitos adversos , Lidocaína/uso terapêutico , Estado Asmático/complicações , Espasmo Brônquico/prevenção & controle , Serviço Hospitalar de Emergência , Medicina Baseada em Evidências , Humanos , Estado Asmático/terapiaRESUMO
A shortcut review was carried out to establish whether steroids are of benefit in sudden onset sensorineural deafness. Altogether 175 papers were found using the reported search, of which five presented the best evidence to answer the clinical question. The author, date, and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated (table 4). It is concluded that there is insufficient good evidence to recommend early steroid treatment in this condition.
Assuntos
Perda Auditiva Súbita/tratamento farmacológico , Esteroides/uso terapêutico , Serviço Hospitalar de Emergência , Medicina Baseada em Evidências , Humanos , Resultado do TratamentoRESUMO
A short cut review was carried out to establish whether hypertonic or isotonic saline improved the outcome most in patients with severe head injury. Altogether 66 papers were found using the reported search, of which three presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
Assuntos
Traumatismos Craniocerebrais/complicações , Traumatismos Craniocerebrais/tratamento farmacológico , Hipotensão/tratamento farmacológico , Hipotensão/etiologia , Solução Salina Hipertônica/uso terapêutico , Humanos , Soluções Isotônicas/uso terapêuticoRESUMO
A short cut review was carried out to establish whether intra-articular corticosteroid injections were effective at reducing pain in patients with acute rheumatoid monoarthritis. Altogether 215 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of this best paper are tabulated. A clinical bottom line is stated.
Assuntos
Corticosteroides/administração & dosagem , Antirreumáticos/administração & dosagem , Artrite Reumatoide/tratamento farmacológico , Doença Aguda , Adulto , Feminino , Humanos , Injeções Intra-Articulares , Pregnadienos/uso terapêutico , Resultado do TratamentoRESUMO
A short cut review was carried out to establish whether parenteral thiamine was more effective than an oral preparation at replacing thiamine in alcoholics without encephalopathy. Twenty five papers were found using the reported search, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
Assuntos
Alcoolismo/complicações , Deficiência de Tiamina/tratamento farmacológico , Tiamina/administração & dosagem , Administração Oral , Serviço Hospitalar de Emergência , Medicina Baseada em Evidências , Humanos , Infusões Intravenosas , Deficiência de Tiamina/etiologiaAssuntos
Enfermagem em Emergência/métodos , Medição da Dor/métodos , Medição da Dor/enfermagem , Dor/classificação , Dor/diagnóstico , Triagem/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Pesquisa em Enfermagem Clínica , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Avaliação em Enfermagem/métodos , Dor/enfermagem , Medição da Dor/instrumentação , Sensibilidade e Especificidade , Triagem/normasRESUMO
A short cut review was carried out to establish whether pretreatment with lignocaine (lidocaine) reduces the rise in intracranial pressure associated with intubation of head injured patients. Altogether 85 papers were found using the reported search, of which three presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.