ABSTRACT
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.
Subject(s)
Anesthetics, Local/therapeutic use , Intubation, Intratracheal/adverse effects , Lidocaine/therapeutic use , Status Asthmaticus/complications , Bronchial Spasm/prevention & control , Emergency Service, Hospital , Evidence-Based Medicine , Humans , Status Asthmaticus/therapyABSTRACT
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.
Subject(s)
Hearing Loss, Sudden/drug therapy , Steroids/therapeutic use , Emergency Service, Hospital , Evidence-Based Medicine , Humans , Treatment OutcomeSubject(s)
Emergency Nursing/methods , Pain Measurement/methods , Pain Measurement/nursing , Pain/classification , Pain/diagnosis , Triage/methods , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Clinical Nursing Research , Female , Humans , Infant , Male , Middle Aged , Nursing Assessment/methods , Pain/nursing , Pain Measurement/instrumentation , Sensitivity and Specificity , Triage/standardsABSTRACT
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.
Subject(s)
Alcoholism/complications , Thiamine Deficiency/drug therapy , Thiamine/administration & dosage , Administration, Oral , Emergency Service, Hospital , Evidence-Based Medicine , Humans , Infusions, Intravenous , Thiamine Deficiency/etiologyABSTRACT
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.
Subject(s)
Adrenal Cortex Hormones/administration & dosage , Antirheumatic Agents/administration & dosage , Arthritis, Rheumatoid/drug therapy , Acute Disease , Adult , Female , Humans , Injections, Intra-Articular , Pregnadienes/therapeutic use , Treatment OutcomeABSTRACT
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.
Subject(s)
Craniocerebral Trauma/complications , Craniocerebral Trauma/drug therapy , Hypotension/drug therapy , Hypotension/etiology , Saline Solution, Hypertonic/therapeutic use , Humans , Isotonic Solutions/therapeutic useABSTRACT
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.
