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Interventional techniques for the treatment of primary headaches: a systematic review and meta‑analysis / Juan Felipe Vargas Silva
Título : Interventional techniques for the treatment of primary headaches: a systematic review and meta‑analysis Tipo de documento : documento electrónico Autores : Juan Felipe Vargas Silva, Fecha de publicación : 2022 Títulos uniformes : SN Comprehensive Clinical Medicine Idioma : Inglés (eng) Palabras clave : Headache Nerve block Interventional techniques Chronic pain Anesthesia Resumen : Evaluate the effectiveness of different interventional procedures for the treatment of primary headaches in reducing pain intensity and frequency of painful episodes, performing a systematic review and meta-analysis. We performed this review and meta-analysis according to the Cochrane Collaboration and PRISMA-P guidelines for the development of systematic review protocols. We reviewed randomized clinical trials that compared interventional techniques to treat headaches compared with placebo or pharmacological treatment among adults. In patients with migraine, a greater occipital nerve (GON) block significantly reduced pain intensity (MD = − 0.93, 95% CI = − 1.75, − 0.11; p = 0.03). Interventional techniques performed for tension-type headache (TTH) significantly reduced pain intensity (MD = − 2.34, 95% CI = − 3.30, − 1.37, p Mención de responsabilidad : Benavides-Zora David, Maria José Fernández Turizo, Francisco Javier Camargo Cárdenas, Juan Felipe Vargas & Diana Carolina Ramírez Cadavid DOI (Digital Object Identifier) : 10.1007/s42399-022-01149-6 En línea : https://link.springer.com/article/10.1007/s42399-022-01149-6 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6014 Interventional techniques for the treatment of primary headaches: a systematic review and meta‑analysis [documento electrónico] / Juan Felipe Vargas Silva, . - 2022.
Obra : SN Comprehensive Clinical Medicine
Idioma : Inglés (eng)
Palabras clave : Headache Nerve block Interventional techniques Chronic pain Anesthesia Resumen : Evaluate the effectiveness of different interventional procedures for the treatment of primary headaches in reducing pain intensity and frequency of painful episodes, performing a systematic review and meta-analysis. We performed this review and meta-analysis according to the Cochrane Collaboration and PRISMA-P guidelines for the development of systematic review protocols. We reviewed randomized clinical trials that compared interventional techniques to treat headaches compared with placebo or pharmacological treatment among adults. In patients with migraine, a greater occipital nerve (GON) block significantly reduced pain intensity (MD = − 0.93, 95% CI = − 1.75, − 0.11; p = 0.03). Interventional techniques performed for tension-type headache (TTH) significantly reduced pain intensity (MD = − 2.34, 95% CI = − 3.30, − 1.37, p Mención de responsabilidad : Benavides-Zora David, Maria José Fernández Turizo, Francisco Javier Camargo Cárdenas, Juan Felipe Vargas & Diana Carolina Ramírez Cadavid DOI (Digital Object Identifier) : 10.1007/s42399-022-01149-6 En línea : https://link.springer.com/article/10.1007/s42399-022-01149-6 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6014 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001852 AC-2022-020 Archivo digital Producción Científica Artículos científicos Disponible Diaphragm-sparing brachial plexus blocks: a focused review of current evidence and their role during the COVID-19 pandemic / Laura Girón Arango
Título : Diaphragm-sparing brachial plexus blocks: a focused review of current evidence and their role during the COVID-19 pandemic Tipo de documento : documento electrónico Autores : Laura Girón Arango, Fecha de publicación : 2020 Títulos uniformes : Current Opinion in Anaesthesiology Idioma : Inglés (eng) Palabras clave : brachial plexus COVID-19 diaphragm-sparing nerve block phrenic nerve regional anesthesia Resumen : Purpose of review: Given that COVID-19 can severely impair lung function, regional anesthesia techniques avoiding phrenic nerve paralysis are relevant in the anesthetic management of suspected/confirmed COVID-19 patients requiring shoulder and clavicle surgical procedures. The objective of this review is to provide an overview of recently published studies examining ultrasound-guided diaphragm-sparing regional anesthesia techniques for the brachial plexus (BP) to favor their preferent use in patients at risk of respiratory function compromise. Recent findings: In the last 18 months, study findings on various diaphragm-sparing regional anesthesia techniques have demonstrated comparable block analgesic effectivity with a variable extent of phrenic nerve paralysis. The impact of hemi-diaphragmatic function impairment on clinical outcomes is yet to be established. Summary: Existing diaphragm-sparing brachial plexus regional anesthesia techniques used for shoulder and clavicle surgery may help minimize pulmonary complications by preserving lung function, especially in patients prone to respiratory compromise. Used as an anesthetic technique, they can reduce the risk of exposure of healthcare teams to aerosol-generating medical procedures (AGMPs), albeit posing an increased risk for hemi-diaphragmatic paralysis. Reducing the incidence of phrenic nerve involvement and obtaining opioid-sparing analgesia without jeopardizing efficacy should be prioritized goals of regional anesthesia practice during the COVID-19 pandemic. Mención de responsabilidad : Cubillos, Javier; Girón-Arango, Laura; Muñoz-Leyva, Felipe Referencia : Curr Opin Anaesthesiol. 2020 Oct;33(5):685-691. DOI (Digital Object Identifier) : 10.1097/ACO.0000000000000911 PMID : 32826625 En línea : https://journals.lww.com/co-anesthesiology/Abstract/2020/10000/Diaphragm_sparing [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5129 Diaphragm-sparing brachial plexus blocks: a focused review of current evidence and their role during the COVID-19 pandemic [documento electrónico] / Laura Girón Arango, . - 2020.
Obra : Current Opinion in Anaesthesiology
Idioma : Inglés (eng)
Palabras clave : brachial plexus COVID-19 diaphragm-sparing nerve block phrenic nerve regional anesthesia Resumen : Purpose of review: Given that COVID-19 can severely impair lung function, regional anesthesia techniques avoiding phrenic nerve paralysis are relevant in the anesthetic management of suspected/confirmed COVID-19 patients requiring shoulder and clavicle surgical procedures. The objective of this review is to provide an overview of recently published studies examining ultrasound-guided diaphragm-sparing regional anesthesia techniques for the brachial plexus (BP) to favor their preferent use in patients at risk of respiratory function compromise. Recent findings: In the last 18 months, study findings on various diaphragm-sparing regional anesthesia techniques have demonstrated comparable block analgesic effectivity with a variable extent of phrenic nerve paralysis. The impact of hemi-diaphragmatic function impairment on clinical outcomes is yet to be established. Summary: Existing diaphragm-sparing brachial plexus regional anesthesia techniques used for shoulder and clavicle surgery may help minimize pulmonary complications by preserving lung function, especially in patients prone to respiratory compromise. Used as an anesthetic technique, they can reduce the risk of exposure of healthcare teams to aerosol-generating medical procedures (AGMPs), albeit posing an increased risk for hemi-diaphragmatic paralysis. Reducing the incidence of phrenic nerve involvement and obtaining opioid-sparing analgesia without jeopardizing efficacy should be prioritized goals of regional anesthesia practice during the COVID-19 pandemic. Mención de responsabilidad : Cubillos, Javier; Girón-Arango, Laura; Muñoz-Leyva, Felipe Referencia : Curr Opin Anaesthesiol. 2020 Oct;33(5):685-691. DOI (Digital Object Identifier) : 10.1097/ACO.0000000000000911 PMID : 32826625 En línea : https://journals.lww.com/co-anesthesiology/Abstract/2020/10000/Diaphragm_sparing [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5129 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001388 AC-2020-065 Archivo digital Producción Científica Artículos científicos Disponible