The American journal of emergency medicine
-
Randomized Controlled Trial Multicenter Study
A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias.
Valsalva maneuver is a recognized treatment for supraventricular tachycardia, but in clinical setting it has a low chance to achieve successful cardioversion. Studies suggested that the postural modification of valsalva maneuver may improve the rate of cardioversion. We further modified the maneuver and conduct a multicenter randomized controlled trial to test its efficacy. ⋯ To verify the efficacy of the modified Valsalva maneuver in SVT in Chinese population and simplify the operation process further.
-
Randomized Controlled Trial
Randomized controlled trial to improve primary care follow-up among emergency department patients.
Primary care (PC) follow-up for discharged emergency department (ED) patients provides patients with further medical attention. We conducted a pilot randomized controlled trial to determine whether using a freely-available physician appointment-booking website results in higher self-reported PC follow-up. ⋯ Among ED patients that providers judged PC follow-up is important, using a booking website to schedule an appointment before ED discharge resulted in a higher but not statistically significant self-reported PC follow-up rate. This intervention warrants further investigation in a study with a larger sample size and objective follow-up visit data.
-
Randomized Controlled Trial
Gentle facemask ventilation during induction of anesthesia.
To determine the level of inspiratory pressure minimizing the risk of gastric insufflation while providing adequate pulmonary ventilation. ⋯ Inspiratory pressure of 10 cm H2O allowed for reduced occurrence of gastric insufflation with proper lung ventilation during induction of anesthesia with sufentanil and propofol in nonparalyzed and nonobese patients.