Результаты поиска

Регулирование причиняемой раком боли в хосписе и паллиативном уходе.

Раковая боль в костях (CIBP) one - наиболее распространенные симптомы инвалидности, встречающиеся в хосписе и паллиативном уходе. Метастазы костей особенно часто встречаются у пациентов с множественной миеломой, раком груди и раком простаты, и они могут вызывать непрерывную фоновую боль, боль, связанную с движением, патологический перелом, злокачественное сжатие спинного мозга и гиперкальцемию злокачественности. CIBP является результатом сложного взаимодействия ноцицептивных, подстрекательских и нейропатических механизмов, обусловленных взаимодействием опухолей со стромой и центральной сенсиби

Использование каннабиса и риск возникновения периодонтита и негативных последствий для здоровья полости рта: систематический анализ литературы.

Каннабис широко употребляется во всем мире. К числу общих методов потребления относятся курение, оплодотворение и потребление съедобных веществ. Несмотря на все более широкое использование каннабиса, его воздействие на лечение и лечение расстройств, связанных с оральным здоровьем, по-прежнему недостаточно изучено. Каннабис ассоциируется с негативными оральными последствиями, такими, как периодонтит, ксеростомия, кариес и ингивит. Эти отрицательные оральные эффекты осложняют стоматологическую помощь. Был проведен систематический обзор литературы с целью поиска баз данных PubMed, EMBASE и Cochra

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… Users undergoing deep sedation or general anesthesia required higher doses of propofol, midazolam, ketamine, and fentanyl compared to non-users [ 38 ]. … Thus, providers should take cannabis use into consideration when planning general anesthesia or deep sedation. …

Emergency Care

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Abstracts of the ICARE 2024 78th SIAARTI National Congress

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… On day one the patient developed a severe bronchospasm, requiring deep sedation and a multimodal bronchodilator therapy. On day five post admission, after improvement of respiratory symptoms, sedation was discontinued for a spontaneous breathing trial. …

Effect of eszopiclone on sleep, fatigue, and pain in patients with mucositis associated with hematologic malignancies.

PurposePatients with malignancy sometimes develop painful mucositis and require patient-controlled analgesia (PCA) to treat their pain. Pain disrupts sleep and there is some evidence that analgesic medications also disrupt sleep. This study examined whether treatment with the sedative hypnotic eszopiclone could improve self-reports of sleep, fatigue, and pain as well as decrease opioid self-administered via PCA.MethodsInpatients who developed mucositis severe enough to require PCA treatment were randomized double-blind to a 2-day trial on eszopiclone or placebo-administered at bedtime. Patient

13. Тригеминальная Невралгия.

ВВЕДЕНИЕ: Трехземная нейронгия (ТН) - это расстройство, характеризующееся повторяющимися в одностороннем порядке короткими электрическими ударами, резким наступлением и прекращением, ограничивающееся распределением одной или нескольких ветвей тригеминального нерва и вызванное беспощадными стимуляторами. МЕТОДЫ: Была извлечена и обобщена литература по диагностике и лечению ТН. Результаты: Диагностика почти полностью основана на истории пациента. В классической TN неврологический осмотр обычно является нормальным, в то время как экзамен в средней TN сосредоточен на обнаружении признаков множеств

Interventional radiology in the elderly.

Interventional radiological percutaneous procedures are becoming all the more important in the curative or palliative management of elderly frail patients with multiple underlying comorbidities. They may serve either as alternative primary minimally invasive therapies or adjuncts to traditional surgical treatments. The present report provides a concise review of the most important interventional radiological procedures with a special focus on the treatment of the primary debilitating pathologies of the elderly population. The authors elaborate on the scientific evidence and latest developments

How does the clinical and tomographic appearance of MRONJ influences its treatment prognosis?

OBJECTIVES: To identify clinical and tomographic prognostic factors for conservative and surgical treatment of medication-related osteonecrosis of the jaws (MRONJ). METHODS: A retrospective search identified patients treated with antiresorptive drugs (ARDs), diagnosed with Stage 1, 2 or 3 MRONJ, and having CBCT scans previous to conservative or surgical treatment. Following data collection, imaging assessment of the following parameters on each MRONJ site was performed: involvement of teeth and/or implants, presence of osteosclerosis, osteolysis, sequestrum formation, periosteal reaction, and

ESICM LIVES 2016: part two : Milan, Italy. 1–5 October 2016

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INvestigational Vertebroplasty Efficacy and Safety Trial (INVEST): a randomized controlled trial of percutaneous vertebroplasty.

BACKGROUND: The treatment of painful osteoporotic vertebral compression fractures has historically been limited to several weeks of bed rest, anti-inflammatory and analgesic medications, calcitonin injections, or external bracing. Percutaneous vertebroplasty (the injection of bone cement into the fractured vertebral body) is a relatively new procedure used to treat these fractures. There is increasing interest to examine the efficacy and safety of percutaneous vertebroplasty and to study the possibility of a placebo effect or whether the pain relief is from local anesthetics placed directly on

Disorders of the Spinal Cord

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Neuropathic cancer pain: What we are dealing with? How to manage it?

Cancer pain is a serious health problem, and imposes a great burden on the lives of patients and their families. Pain can be associated with delay in treatment, denial of treatment, or failure of treatment. If the pain is not treated properly it may impair the quality of life. Neuropathic cancer pain (NCP) is one of the most complex phenomena among cancer pain syndromes. NCP may result from direct damage to nerves due to acute diagnostic/therapeutic interventions. Chronic NCP is the result of treatment complications or malignancy itself. Although the reason for pain is different in NCP and non

45th International Symposium on Intensive Care & Emergency Medicine.

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… While sedatives can help regulate respiratory drive and effort, deep sedation may negatively affect short and long-term outcomes, making an optimal sedation strategy uncertain. … Compared with RASS, sedation guided by processed EEG appears more effective, as it helps avoid overly deep sedation and supports achieving the appropriate sedation level. Figure (abstract P025) Effect of sedation when monitored with processed EEG on respiratory variables. …

Short and long term central peripherally inserted catheters in hematological malignancy patients: clinical outcomes and safety. Single centre experience.

ObjectiveTo characterise the population and describe the complications in patients with hematologic malignancies who underwent implantation of a peripherally inserted central catheter (PICC) or midline catheter (MC) for the administration of chemotherapy or oncologic support.MethodsThe retrospective descriptive study included patients with hematologic malignancies who underwent PICC or MC implantation between July 2022 and 2024. All patients are part of the institution-based prospective observational Evidence - Verification - Analysis study. Variables related to device type were obtained from

Сексуальная диагностика после травматологического травматизма мозга и разрушения мозга: критический нарационный обзор нейробиологии, клинических фенотипов и управления.

Фон/цели: Приобретенная травма мозга (АБИ) может нарушить сексуальное регулирование, но в литературе не поддерживается ни одна связь между побочными повреждениями. В этом критическом обзоре дается оценка гиперсексуальности, сексуального лишения и редких парафических проявлений после травматической травмы мозга (ТБР) и инсульта, а также задается вопрос о том, насколько скудные, разнородные данные могут служить основой для пропорционального клинического ухода. Методы: была проведена проверка по Пубмеду/МЕДЛИНЕ, Скопу и Сети наук 6 Август 2026. Two Эксперты, проводящие обзор, проводят независимую

When to Use Methadone for pain: A Case-Based Approach.

The case studies are written in this article to illustrate how methadone might be used for pain in the Indian context. These cases might be used for discussion in a multidisciplinary team, or for individual study. It is important to understand that pain requires a multidisciplinary approach as opioids will assist only with physical, i.e. neuropathic and nociceptive pain, but not emotional, spiritual, or relational pain or the pain of immobility. The social determinants of pain were included to demonstrate how emotional, relational, and psychological dimensions of pain amplify the physical aspe

Vertebral augmentation by kyphoplasty and vertebroplasty: 8 years experience outcomes and complications.

BACKGROUND AND CONTEXT: Minimally invasive percutaneous vertebral augmentation techniques; vertebroplasty, and kyphoplasty have been treatment choices for vertebral compression fractures (VCFs). The purpose of this study is to evaluate the outcomes of the patients who underwent vertebroplasty or kyphoplasty regarding complications, correction of vertebral body height, kyphosis angle and pain relief assessment using visual analog score (VAS) for pain. MATERIALS AND METHODS: A retrospective review of the hospital records for 100 consecutive patients treated with kyphoplasty or vertebroplasty in

SUBJECT INDEX Volume 125 (JANUARY–JUNE, 2004)

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Prognostic utility of Palliative Prognostic Index in advanced cancer: A systematic review and meta-analysis.

ObjectivesTo evaluate the prognostic utility of Palliative Prognostic Index (PPI) scores in predicting the death of adults with advanced cancer.MethodsA systematic review and meta-analysis were conducted. Six databases were searched for articles published from inception till 16 February 2024. Observational studies reporting time-to-event outcomes of PPI scores used in any setting, timing and score cutoffs were eligible. Participants were adults with advanced cancer residing in any setting. Random effects meta-analysis was used to pool hazard, risk, or odds ratios. Findings were narratively syn

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… | 205 (113/92) – 196 with PPI scores | - 65 years old ( n = 117) –≤65 years old ( n = 88) Ahn et al. ( 2021 ) Korea | Retrospective chart audit | Hospice care unit patients with terminal cancer who received continuous deep sedation | January2014 to December 2016 | Terminal cancer - hepato-biliary-pancreatic … References Ahn HK, Ahn HY, Park SJ, et al. (2021) Characteristics associated with survival in patients receiving continuous deep sedation in a hospice care unit. …

Review of cancer therapies for the perioperative physician.

Advances in cancer treatments over the past decades combining chemotherapy with novel technologies in immunotherapies, radiation therapies, and interventional radiology have prolonged life expectancy. Patients have more options for treatments of their primary or metastatic diseases. Increased procedural techniques amid an aging population with multiple comorbidities present risks and challenges in the perioperative period.Chemotherapy remains the mainstay of cancer treatment, can be given intraoperatively, and is combined with other treatment modalities. Immunotherapy is particular to cancer c