Taste disorder ’s management: a systematic review
ConclusionImproving oral hygiene may promote taste ability. Zinc may prevent and alleviate taste disorder in patients undergoing head and neck radiotherapy.Clinical relevanceThe systematic review provided evidence about the clinical efficacy of oral procedures, zinc supplementation, and palliative cares in dysgeusic patients. Further research is needed to find effective treatments with low adverse effects.
CONCLUSIONS: The tools developed will aid DCD centres in fulsomely adapting the Canadian Critical Care Society Withdrawal of Life-Sustaining Measures guideline. PMID: 32918249 [PubMed - as supplied by publisher]
Hydranencephaly is a rare and debilitating congenital condition in which most anesthesiologists are unfamiliar. Primary surgical treatment involves CSF diversion, though other palliative procedures requiring a...
As techniques for corrective and palliative surgery in congenital heart disease improve, the number of patients surviving to become adults with congenital heart disease (ACHD) has increased. A significant proportion of these patients will progress to develop advanced heart failure, the symptoms of which vary, complicating prediction of life expectancy. Unlike acquired heart failure, there is a lack of evidence-based treatments with which to relieve symptoms and prolong survival. As a result, a number of ACHD patients will proceed to heart transplantation.
Abstract The combination of an ageing population with improving survival in malignant and non-malignant disease processes results in a growing cohort of patients with advanced or end-stage chronic diseases who require acute medical care. Emergency care has historically been stereotyped as the identification and treatment of acute life-threatening problems. Although palliative care may be considered to be new to the formal curriculum of emergency medicine, in many domains the ultrasound skillset of a physician in acute medical care can be efficaciously deployed the benefit of patients with both malignant and non-ma...
Malignant pleural mesothelioma is a rare aggressive cancer, with insidious growth, and is associated with poor outcomes that have not improved over the years. A task force made up of members of the European Respiratory Society (ERS)/European Society of Thoracic Surgeons (ESTS)/European Association for Cardio-Thoracic Surgery (EACTS)/European Society for Radiotherapy and Oncology (ESTRO) societies, who are experts in the field of malignant mesothelioma, reviewed the literature from 2009 to 2018 to update the 2009 guidelines concerning epidemiology, diagnosis, staging, and treatment, including surgical, radiotherapy, and med...
SINGLE ventricle (SV) defects are congenital cardiac anomalies in which 1 of the 2 ventricles is severely hypoplastic or absent. The atrioventricular valve and arterial outflow valve associated with the hypoplastic ventricle are also absent or hypoplastic. Usually a biventricular repair is impossible, and these patients often require a series of palliative procedures. There are many anatomic subtypes and variations of SV defects, and the nomenclature can be confusing.1 SV defects are classified as right or left ventricle morphology depending on the functioning well-developed ventricle.
Conclusions: Our palliative treatment technique appears to be safe, effective, and less invasive, and could be a treatment option for symptomatic patients with head and neck cancer. PMID: 32695200 [PubMed]
A great deal of attention has been directed toward developing better options for palliative care and hospice, and improving euthanasia techniques in all species. Euthanasia of exotic pets is technically more difficult because of anatomic differences and small patient size. Traditional intravenous euthanasia techniques in conscious patients are stressful and should generally be avoided in exotic pets; simple intramuscular administration of high dosages of anesthetics followed by delivery of euthanasia solutions is preferred. Options for mammals, birds, and reptiles are presented.
ConclusionFluoroscopic-guided retrograde double-J stent exchange is a safe and effective procedure that can be performed with a high degree of success using equipment and techniques used in daily IR practice. This approach precludes the need for GA, reduces OT utilisation and is well tolerated in a patient group for whom this procedure is typically palliative.
Publication date: Available online 9 July 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Prashant Sirohiya, Brajesh Ratre