A narrative review of caudal epidural anaesthesia and analgesia in horses. Part 1: Safety and efficacy of epidural drugs

Author(s):  
L. N. Rønnow Kjærulff ◽  
C. Lindegaard
2001 ◽  
Vol 148 (17) ◽  
pp. 536-538 ◽  
Author(s):  
K. W. J. Kyles ◽  
B. C. McGorum ◽  
C. Fintl ◽  
C. N. Hann ◽  
I. G. Mayhew ◽  
...  

2018 ◽  
Vol 7 (3) ◽  
pp. 154-156
Author(s):  
Nalagandla Srinivas Reddy ◽  
◽  
Cherukuri Sunil Kumar ◽  
Aavula Muralidhar ◽  
◽  
...  

2008 ◽  
Vol 178 (2) ◽  
pp. 294-297 ◽  
Author(s):  
Rafael DeRossi ◽  
Ulisses Medeiros ◽  
Ricardo G. de Almeida ◽  
Fernando R. Righetto ◽  
Fabrício O. Frazílio

2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Erik W. Baars ◽  
Harald J. Hamre

Background. There is an increasing need for a worldwide professional integration of conventional medicine and traditional/complementary whole medical systems (WMSs). However, the integration is perceived by conventional medicine as problematic or unacceptable, because of a supposed lack of evidence for specific effects of WMSs therapies and supposed prescientific or unscientific paradigms of WMSs. Objectives. To review the literature on the features of WMSs, similarities and differences between conventional medicine and WMSs, and scientific and clinical practice issues that should be dealt with in order to promote the integration process. Methods. A critical, narrative review of the literature on six WMSs. Results and Conclusions. Key factors for the integration of WMSs and conventional medicine are as follows: legal frameworks, quality standards, high-quality research on safety and efficacy of WMS interventions, infrastructure, and financial resources. For scientific assessment of WMSs, there are unresolved ontological, epistemological, and methodological issues and issues of diagnostics, therapy delivery, and outcome assessment in clinical practice. Future research not only should be directed at quality assurance and generating the necessary data on safety and efficacy/effectiveness but also should address more fundamental (ontological, epistemological, and methodological) issues, in order to overcome the differences between WMSs and conventional medicine.


2021 ◽  
pp. 112972982110099
Author(s):  
Sergio Bertoglio

Introduced over 20 years ago, the reverse tapering design for PICC catheters is supposed to have some benefits in terms of both efficacy and safety. In particular, it would ensure less postoperative bleeding at the exit site and greater effectiveness in preventing kinking or twisting of the same. Since its introduction, these hypothesized advantages have never been demonstrated in clinical studies, however very scarce, which have highlighted neither advantages nor disadvantages of reverse tapered catheters when compared to non-reverse tapered ones. This narrative review analyzes some aspects of the use of reverse tapered PICCs, also paying attention to some possible undesirable effects that have arisen from the introduction into clinical practice of new subcutaneous systems of securement of PICCs to the skin. Clinicians should be aware of the fact that reverse tapering design does not represents a sure improvement in terms of safety and efficacy of PICCs and its adoption should be weighed against possible clinical disadvantages.


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