Cochrane Db Syst Rev
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Cochrane Db Syst Rev · Oct 2006
ReviewTechniques for preventing hypotension during spinal anaesthesia for caesarean section.
No intervention has yet been shown to completely avoid maternal hypotension due to spinal anaesthesia for Caesarean section.
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Helium and oxygen mixtures (heliox), have been used sporadically in respiratory medicine for decades. Their use in acute respiratory emergencies such as asthma has been the subject of considerable debate. Despite the lapse of more than 60 years since it was first proposed, the role of heliox in treating patients with severe acute asthma remains unclear. ⋯ The existing evidence does not provide support for the administration of helium-oxygen mixtures to all ED patients with acute asthma. At this time, heliox treatment does not have a role to play in the initial treatment of patients with acute asthma. Nevertheless, new evidence suggests certain beneficial effects in patients with more severe obstruction. Since these conclusions are based upon between-group comparisons and small studies, they should be interpreted with caution.
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Cochrane Db Syst Rev · Oct 2006
Review Meta AnalysisPreventing occupational stress in healthcare workers.
Healthcare workers can suffer from occupational stress which may lead to serious mental and physical health problems. ⋯ Limited evidence is available for the effectiveness of interventions to reduce stress levels in healthcare workers. Larger and better quality trials are needed.
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Cochrane Db Syst Rev · Oct 2006
Review Meta AnalysisOccupational therapy for patients with problems in activities of daily living after stroke.
Occupational therapy aims to help people reach their maximum level of function and independence in all aspects of daily life. ⋯ Patients who receive occupational therapy interventions are less likely to deteriorate and are more likely to be independent in their ability to perform personal activities of daily living. However, the exact nature of the occupational therapy intervention to achieve maximum benefit needs to be defined.
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Cochrane Db Syst Rev · Oct 2006
Review Meta AnalysisLong-acting beta2-agonists versus anti-leukotrienes as add-on therapy to inhaled corticosteroids for chronic asthma.
Patients who continue to experience asthma symptoms despite taking regular inhaled corticosteroids (ICS) represent a management challenge. Leukotriene receptor antagonists (LTRA) and long-acting beta(2)-agonists (LABA) agents may both be considered as add-on therapy to inhaled corticosteroids (ICS). ⋯ In asthmatic adults inadequately controlled on low doses of inhaled steroids, the addition of LABA is superior to LTRA for preventing exacerbations requiring systemic steroids, and for improving lung function, symptoms, and the use of rescue beta(2)-agonists.