ANZ journal of surgery
-
ANZ journal of surgery · Jul 2004
ReviewGuidelines for the management of haemodynamically unstable pelvic fracture patients.
Haemodynamically unstable pelvic fracture patients have a high mortality, and decision-making is crucial. The present article discusses key clinical practice guidelines and options in the early management of these challenging patients. ⋯ The consensus committee successfully developed best evidence recommendations identifying the issues and providing guidelines and options for this challenging condition.
-
ANZ journal of surgery · Jul 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of the effect of diclofenac with hyoscine-N-butylbromide in the symptomatic treatment of acute biliary colic.
Although non-steroidal anti-inflammatory drugs (NSAID) and spasmolytics have been used to relieve biliary colic, the role of these drugs in the natural history of biliary colic has not been clarified. The objective of the present study is to compare the efficacy of intramuscular diclofenac with intramuscular hyoscine in the treatment of pain of acute biliary colic, and to study their role in the natural history of biliary colic and in the prevention of cholelithiasis-related complications. ⋯ In patients with biliary colic, diclofenac gives much faster and more effective pain relief in a significantly larger number of patients as compared with hyoscine. Most remarkably, diclofenac can prevent progression of biliary colic to acute cholecystitis in a significant number of patients.