European review for medical and pharmacological sciences
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Eur Rev Med Pharmacol Sci · Oct 2014
2D speckle tracking imaging to assess sepsis induced early systolic myocardial dysfunction and its underlying mechanisms.
The aim of this study was to apply speckle tracking imaging (STI) to evaluate rabbit sepsis induced myocardial injury. ⋯ STI is more sensitive than the conventional echocardiography for the early detection of abnormal myocardial contractility. It is a noninvasive, accurate and timely detection of myocardial dysfunction in sepsis.
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Eur Rev Med Pharmacol Sci · Oct 2014
Randomized Controlled TrialThe relationship between blood lactate, carboxy-hemoglobin and clinical status in CO poisoning.
We aimed to determine the relationship between blood lactate, carboxy-hemoglobin (COHb) levels and the severity of clinical findings in patients with CO poisoning. ⋯ According to our study, blood lactate and COHb levels were both correlated with the changes of consciousness in CO poisoning. Blood lactate levels together with COHb in defining indications for HBO treatment might be suggested.
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Eur Rev Med Pharmacol Sci · Oct 2014
Randomized Controlled Trial Comparative Study Observational StudyParacetamol-codeine compared to ketorolac for pain control in the Emergency Department.
Paracetamol /codeine has shown a strong analgesic activity in several studies conducted among different kind of subjects, including those with trauma. Nevertheless, its efficacy in patients accessing the Emergency Department (ED) for different kind of pain has never been tested. ⋯ Paracetamol/codeine is equivalent to ketorolac in non-traumatic pain and post-traumatic pain, but is superior in acute pain and in patients with fractures and muscular pain. Those results play in favor of the use of the combination paracetamol/codeine in patients accessing the ED for non-traumatic or traumatic pain of the extremities.
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Eur Rev Med Pharmacol Sci · Oct 2014
The use of targeted percutaneous laser disc decompression under the guidance of puncture-radiating pain leads to better short-term responses in lumbar disc herniation.
Traditional percutaneous laser disc decompression (PLDD) eliminates nucleus pulposus in the center of lumbar discs. Targeted PLDD is an alternative technique that involves elimination and decompression of the target area located 5-8 mm in the front of the herniated disc. We aimed to compare the efficacy of targeted PLDD with traditional PLDD in the treatment of lumbar disc herniation and evaluate the usefulness of guidance by puncture-radiating pain on clinical outcomes of PLDD. ⋯ Targeted PLDD is an effective, minimally invasive, and safe technique for lumbar disc herniation, and this technique achieves better short-term postsurgical outcomes than traditional PLDD. Puncture-radiating pain is an important prognostic indicator for better short-term responses to the treatment.