Download Evidence-Based Resource in Anaesthesia and Analgesia by Martin Tram?r PDF

By Martin Tram?r

This paintings discusses the technique and to be had facts from systematic reports at the present most sensible perform in anaesthesia and analgesia. the 1st version is equipped upon during this completely revised and up-to-date textual content. Contributions are from said international experts on systematic evaluate within the distinctiveness. The unfastened entry site maintains to supply additional aspect at the literature.

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Extra info for Evidence-Based Resource in Anaesthesia and Analgesia (Evidence-Based Medicine)

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27,28 Good risk management with patientcontrolled analgesia should emphasise the same drug, protocols, and equipment throughout the hospital. Novel routes of opioid administration, intended to improve analgesia and reduce adverse effects, include intra-articular,29 nasal, active transdermal, and inhalational. These may prove to have an advantage over conventional routes, different kinetic profiles, or greater convenience, but their place in mainstream care is unproven. 49 EVIDENCE-BASED RESOURCE IN ANAESTHESIA AND ANALGESIA Peripheral opioids At least for intra-articular peripheral opioids, the story becomes a little clearer.

N Engl J Med 2000;342:1887–92. 21 3: Why do we need systematic reviews in anaesthesia and analgesia? R ANDREW MOORE We need systematic reviews in anaesthesia and analgesia for a number of reasons: to tell us what we do not know; to tell us what we do know, and be sure of it; and, perhaps, most importantly, to inform on what are the research questions and study designs for the future. For the avoidance of doubt, none of these statements makes a claim that systematic reviews, or randomised trials, are the only way we move forward, and there are circumstances in which neither systematic reviews nor randomised trials are what we need.

36 Debate continues about whether patients with epidural infusions can be nursed on general wards. These techniques are only appropriate for major trauma or surgery when the potential benefits outweigh the risks.

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