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  1. 11 Apr 2014
    Stimulating the brain without surgery in the management of chronic pain Podcast Updated
    Various devices are available that can electrically stimulate the brain without the need for surgery or any invasive treatment in order to manage chronic pain. There are four main treatment types: repetitive transcranial magnetic stimulation (rTMS) in which the brain is stimulated by a coil applied to the scalp, cranial electrotherapy stimulation (CES) ...
  2. 10 Apr 2014
    Carbamazepine for chronic neuropathic pain and fibromyalgia in adults
    Neuropathic pain is pain coming from damaged nerves. It is different from pain messages carried along healthy nerves from damaged tissue (a fall, or cut, or arthritic knee). Neuropathic pain is treated by different medicines than pain from damaged tissue. Medicines like paracetamol or ibuprofen are not effective in neuropathic pain, while medicines ...
  3. 31 Mar 2014
    Regular painkillers in people undergoing laparoscopic cholecystectomy New
    Background About 10% to 15% of the adult western population have gallstones. Between 1% and 4% become symptomatic each year. Removal of the gallbladder (cholecystectomy) is the mainstay treatment for symptomatic gallstones. More than half a million cholecystectomies are performed per year in the US alone. Laparoscopic cholecystectomy (removal of gallbladder ...
  4. 17 Mar 2014
    Does monitoring oxygen level with a pulse oximeter during and after surgery improve patient outcomes? Updated
    Oxygen is carried around the body attached to haemoglobin in the blood. By passing light through the skin, pulse oximeters monitor how much oxygen the blood is carrying. Hypoxaemia—when the level of oxygen in the blood falls below optimal levels—is a risk during surgery when patient breathing and ventilation may be affected by anaesthesia or other drugs. ...
  5. 12 Mar 2014
    Wound infiltration with local anaesthetic agents for laparoscopic cholecystectomy (local anaesthetic administration into the surgical wound in people undergoing laparoscopic cholecystectomy) New
    Background About 10% to 15% of the adult western population have gallstones. Between 1% and 4% become symptomatic each year. Removal of the gallbladder (cholecystectomy) is the mainstay treatment for symptomatic gallstones. More than half a million cholecystectomies are performed per year in the United States alone. Laparoscopic cholecystectomy (removal ...
  6. 7 Mar 2014
    High-flow nasal cannula therapy for support of breathing in children New
    We reviewed evidence on the effectiveness of high-flow nasal cannula (HFNC) therapy in supporting children's breathing. We found 11 studies in children. Background HFNC therapy delivers a mixture of air and oxygen via tubing that sits just inside the nostrils. For children hospitalized with breathing difficulties caused by conditions such as pneumonia ...
  7. 26 Feb 2014
    Psychological therapies delivered via the Internet for adults with longstanding distressing pain and disability
    Chronic pain (i.e. pain lasting longer than three months) is common. Psychological therapies (e.g. cognitive behavioural therapy) can help people to cope with pain, depression and disability that can occur with such pain. Treatments currently are delivered via hospital out-patient consultation (face-to-face) or more recently through the Internet. This ...
  8. 13 Feb 2014
    Use of SmartCare™ to aid discontinuing mechanical ventilation of adults in the postoperative period
    We searched the medical literature databases to May 2013. In a single large trial of high methodologic quality that involved 300 patients, use of a system (SmartCare™) that automatically adjusted ventilator settings and conducted tests of patients' ability to breathe spontaneously there was no clear benefit of SmartCare™. While it reduced the time to ...
  9. 8 Feb 2014
    Incentive spirometry for prevention of postoperative pulmonary complications after upper abdominal surgery
    Background Previous studies have suggested that between 17% and 88% of people having surgery on the upper abdomen will suffer complications that affect their lungs after the operation (postoperative pulmonary complications). The lung volume tends to fall after such surgeries. These complications can be made less likely and less severe with the careful ...
  10. 7 Feb 2014
    Intravenous versus inhaled anaesthesia for children having day surgery procedures
    Review question We reviewed the evidence about the effects of general anaesthesia (GA) for children having day surgery. The GA was given to the children either by intravenous injection (injection of a drug such as propofol or thiopental) or by the child inhaling or breathing a gas such as sevoflurane or halothane through a mask. We found 16 studies ...

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