Presse Med
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Clinical Trial
Unguided sacroiliac injection: effect on refractory buttock pain in patients with spondyloarthropathies.
This study was designed to evaluate the efficacy and safety of unguided sacroiliac injections for refractory sacroiliac pain due to spondyloarthropathies. ⋯ This technique for sacroiliac injection was effective, and the final results showed a significant improvement in pain, similar to that with imaging-guided interventions. Trained physicians can perform this procedure safely in outpatient settings.
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It is difficult to know which patients with dyspnea and terminal cancer will benefit most from supplemental oxygen. Supplemental oxygen treatment is cumbersome, can cause psychological dependence, impair the quality of life of the patient and family, and may even be dangerous for people with chronic respiratory insufficiency. ⋯ It is necessary to insist on the fundamental role of symptomatic treatment, such as morphine, and on massage as well as other physical care, which is essential when no specific treatment is possible any longer. If supplemental oxygen is ordered, its effectiveness must be assessed: it should be maintained only if it produces improvement.