How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

2,400 results for

Spinal Shock

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

21. Induction of Endogenous Neural Stem Cells by Extracorporeal Shock Waves after Spinal Cord Injury. (Abstract)

Induction of Endogenous Neural Stem Cells by Extracorporeal Shock Waves after Spinal Cord Injury. Animal experimental study OBJECTIVES.: The purpose of this study is to investigate the effects of extracorporeal shock waves (ESWs) on endogenous neural stem cells (NSCs) proliferation after spinal cord injury (SCI).Exogenous stem cell transplantation for SCI still has many limitations to be addressed such as ideal cell sources, timing of transplantation, and fate of the transplanted cells

2017 Spine

22. 10-kHz High-Frequency Spinal Cord Stimulation for Adults With Chronic Noncancer Pain

/ (177559) 3 Electric Stimulation Therapy/ (21685) 4 Electric Stimulation/ (164601) 5 3 or 4 (185259) 6 2 and 5 (11261) 7 (((spinal cord* or spine or spines or column* or sc or epidur*) adj3 (stimulat* or electrostimulat*)) or SCS).ti,ab,kf. (26206) 8 or/1,6-7 (37074) 9 (HF10* or HF 10*).ti,ab,kf. (750) 10 (high frequenc* or highfrequenc*).ti,ab,kf. (178709) 11 (10-kHz or 10khz or 10 kilohertz or 10kilohertz or 10 kilo-hertz or 10kilo-hertz or 10,000 hz or 10,000hz or 10000 hz or 10000hz or 10,000 hertz (...) or/23-24 (80328) 26 22 and 25 (3974) 27 (((spinal cord* or spine or spines or column* or sc or epidur*) adj3 (stimulat* or electrostimulat*)) or SCS).tw,kw,dv. (26448) Appendices March 2020 Ontario Health Technology Assessment Series; Vol. 20: No. 6, pp. 1–109, March 2020 78 28 or/21,26-27 (30587) 29 (HF10* or HF 10*).tw,kw,dv. (774) 30 (high frequenc* or highfrequenc*).tw,kw,dv. (179575) 31 (10-kHz or 10khz or 10 kilohertz or 10kilohertz or 10 kilo-hertz or 10kilo-hertz or 10,000 hz or 10,000hz

2020 Health Quality Ontario

23. CRACKCast E197 – Shock

to the process. [5] What is neurogenic shock, and how does it differ from spinal shock? Neurogenic shock = interrupted sympathetic and parasympathetic input from spinal cord to heart and vasculature. Classically – vasodilation and bradycardia (but can have a wide variation in heart rate depending on other factors). Spinal shock = loss of sensation and motor function following spinal cord injury. reflexes are depressed or absent distal to site of injury. This may last for hours to weeks post-injury. The end (...) of spinal shock is marked by the return of the bulbocavernosus reflex (internal/external anal sphincter contraction in response to squeezing the glans penis or clitoris, or tugging on an indwelling foley). Never checked one of them before. [6] What are the empirical criteria for the diagnosis of circulatory shock? (Box 6.2) Why do we care: ED patients presenting with shock often have no obvious cause. We need to key on key elements of the history/exam to make a diagnosis and start appropriate management

2019 CandiEM

24. Spinal Shock

triggers Slight traction of or Compressing/Squeezing glans penis or clitoris Neurologic function absent below the level of the spinal lesion below the spinal lesion es absent below the spinal lesion IV. Precautions: Pitfalls Intercostal muscle paralysis (hypoventilation) Anesthesia below lesion Hidden injuries (e.g. without pain) Transiently shocked spinal cord Immobilize immediately V. Management Immobilize spine with and with head blocks and all straps Frequent ABC evaluation Careful secondary survey (...) Emergent spine surgery VI. References (2012) , ACOS, p. 179-80 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Spinal Shock." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Spinal shock (C0597503) Definition (CSP) a loss of spinal reflexes after an injury of the spinal cord which affects the muscles innervated by the cord segments situated below

2018 FP Notebook

25. Spinal cord compression

Spinal cord compression Spinal cord compression - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Spinal cord compression Last reviewed: February 2019 Last updated: August 2018 Summary Can occur as a result of spine trauma, vertebral compression fracture, intervertebral disc herniation, primary or metastatic spinal tumour, or infection. The resulting spinal cord injury may be acute, sub-acute, or chronic and occurs due (...) of symptoms back pain numbness or paraesthesias weakness or paralysis bladder or bowel dysfunction hyper-reflexia sensory loss muscle weakness or wasting loss of tone below level of suspected injury (spinal shock) hypotension and bradycardia (neurogenic shock) complete cord transection syndrome cauda equina syndrome central cord syndrome history of malignancy immunosuppression intravenous drug use loss of rectal sphincter reflex loss of appendicular reflexes local deformity of spine on palpation Brown

2018 BMJ Best Practice

26. Lumbar artery injury from which the Adamkiewicz artery originated associated with lumbar spine injury: successfully treated by transcatheter arterial embolization. (Abstract)

Lumbar artery injury from which the Adamkiewicz artery originated associated with lumbar spine injury: successfully treated by transcatheter arterial embolization. Lumbar artery injury associated with lumbar spine injury can be a cause of shock leading to life-threatening condition. The Adamkiewicz artery often bifurcates from a lumbar spine or an intercostal artery at the thoracolumbar junction, where spine injury most commonly occurs. However, in emergency transcatheter arterial embolization (...) for lumbar artery injury, hemostasis has priority and blood supply to the Adamkiewicz artery is not frequently confirmed. The aim of this report is to present the case of lumbar spine injury with lumbar artery injury from which the Adamkiewicz artery bifurcated.Retrospective description of a case.A 58-year-old man was pinned under about 300-kg steel container that fell on his back. He was transported to our hospital presented with hemorrhagic shock. Contrast-enhanced computed tomography demonstrated L1-2

2015 European Spine Journal

27. A biomechanical analysis of an artificial disc with a shock-absorbing core property by using whole-cervical spine finite element analysis. (Abstract)

A biomechanical analysis of an artificial disc with a shock-absorbing core property by using whole-cervical spine finite element analysis. A biomechanical comparison among the intact C2 to C7 segments, the C5 to C6 segments implanted with fusion cage, and three different artificial disc replacements (ADRs) by finite element (FE) model creation reflecting the entire cervical spine below C2.The aim of this study was to analyze the biomechanical changes in subaxial cervical spine after ADR (...) the intact cervical spine regarding the location of the center of rotation only during the flexion moment. It also showed a relatively wider distribution of the contact area and significantly lower contact pressure distribution on the core than the other two devices. A "lift off" phenomenon was noted for other two devices according to the specific loading condition.The mobile core artificial disc Baguera C can be considered biomechanically superior to other devices by demonstrating no "lift off

2016 Spine

28. The need to immobilise the cervical spine during cardiopulmonary resuscitation and electric shock administration in out-of-hospital cardiac arrest Full Text available with Trip Pro

The need to immobilise the cervical spine during cardiopulmonary resuscitation and electric shock administration in out-of-hospital cardiac arrest In cases of out-of hospital cardiac arrest (OHCA), falling to the ground can cause brain and neck trauma to the patient. We present a case of a man in his mid-60s who suffered from an OHCA resulting in a violent collapse. The patient received immediate cardiopulmonary resuscitation, but his spine was immobilised only after a large frontal haematoma

2016 BMJ case reports

29. Shock

/ spinal injuries • fainting. 2.4 Blockage of blood flow in or out of heart (obstructive shock), e.g.: • tension pneumothorax • cardiac tamponade ANZCOR Guideline 9.2.3 January 2016 Page 2 of 3 • pulmonary embolus • in pregnancy, compression of large abdominal blood vessels by the uterus. 3 Recognition The symptoms, signs and rate of onset of shock will vary widely depending on the nature and severity of the underlying cause 3 . Shock is a condition that may be difficult to identify. 3.1 Symptoms may (...) Shock ANZCOR Guideline 9.2.3 January 2016 Page 1 of 3 ANZCOR Guideline 9.2.3 – Shock Guideline Who does this guideline apply to? This guideline applies to adult, child and infant victims. Who is the audience for this guideline? This guideline is for use by bystanders, first aiders and first aid providers. 1 Introduction Shock is a loss of effective circulation resulting in impaired tissue oxygen and nutrient delivery 1 and causes life threatening organ failure. 2 Causes Some conditions which

2016 Australian Resuscitation Council

30. CRACKCast E106 – Spinal Cord

surgery Coagulopathic Anticoagulated Thrombocytopenia Liver dz or alcoholism Spontaneous Spinal or dural AVM Vertebral hemangioma Almost everyone needs a decompressive laminectomy. [11] List 4 possible investigations for spinal epidural abscess and diskitis. What are the expected findings? MRI with IV contrast: Enhancement CBC: WBC is insensitive and nonspecific. May be elevated @ 13-16000 / uL ESR/CRP : Not specific, but 100% sensitive if elevated. Lumbar spine xray : Destruction of the lumbar disc (...) . Physical exam: Motor: bulk, tone, strength, BC reflex, post-void residual Sensory: Light touch and pinprick – contralateral spinothalamic tract proprioception/vibration – ipsilateral posterior column Sacral dermatomal testing Reflexes: 0 – 4+ for DTR’s Can be absent in an UMN if sensory function is lost or spinal shock exists. Clonus Babinski’s sign Things that may mimic spinal cord dysfunction but are easily treatable! Hypoglycemia hypokalemia Transverse Myelitis Heterogenous group of inflammatory

2017 CandiEM

31. Double-sided Mechanical Shocks Provoke Larger Seated Postural Reactions Compared to Single-Sided Mechanical Shocks. (Abstract)

Double-sided Mechanical Shocks Provoke Larger Seated Postural Reactions Compared to Single-Sided Mechanical Shocks. Human volunteers were exposed experimentally to single-sided mechanical shocks (SSMS) and double-sided mechanical shocks (DSMS) while seated.The aim of this study was to describe and contrast seated postural reactions due to SSMS or DSMS in healthy male adults.Mechanical shocks to the body, caused when driving on irregular terrain, are suggested to be hazardous to the spine (...) on the speed of direction change. Surface electromyography (EMG) was recorded in muscles of the upper neck, trapezius, erector spinae, and external oblique, while kinematics were recorded with inertial sensors placed at the neck, trunk, and pelvis. Muscle activity was normalized to maximum voluntary contractions (MVCs).The EMG amplitudes were significantly higher (0.6-1%; P < 0.001) for the fast DSMS than all other shocks. Range of motion (ROM) of the neck and trunk was greater during the DSMS than

2017 Spine

32. Effect of low-energy extracorporeal shock wave on vascular regeneration after spinal cord injury and the recovery of motor function Full Text available with Trip Pro

Effect of low-energy extracorporeal shock wave on vascular regeneration after spinal cord injury and the recovery of motor function Latest studies show that low-energy extracorporeal shock wave therapy (ESWT) can upregulate levels of vascular endothelial growth factor (VEGF). VEGF can ease nervous tissue harm after spinal cord injury (SCI). This study aims to explore whether low-energy ESWT can promote expression of VEGF, protect nervous tissue after SCI, and improve motor function.Ninety adult (...) female rats were divided into the following groups: Group A (simple laminectomy), Group B (laminectomy and low-energy ESWT), Group C (spinal cord injury), and Group D (spinal cord injury and low-energy ESWT). Impinger was used to cause thoracic spinal cord injury. Low-energy ESWT was applied as treatment after injury three times a week, for 3 weeks. After SCI, the Basso, Beattie, and Bresnahan (BBB) scale was used to evaluate motor function over a period of 42 days at different time points

2016 Neuropsychiatric disease and treatment

33. Effect of low-energy extracorporeal shock wave on vascular regeneration after spinal cord injury and the recovery of motor function [Retraction] Full Text available with Trip Pro

Effect of low-energy extracorporeal shock wave on vascular regeneration after spinal cord injury and the recovery of motor function [Retraction] [This retracts the article on p. 2189 in vol. 12, PMID: 27621630.].

2016 Neuropsychiatric disease and treatment

34. Sparing of Descending Axons Rescues Interneuron Plasticity in the Lumbar Cord to Allow Adaptive Learning After Thoracic Spinal Cord Injury Full Text available with Trip Pro

). In this paradigm, neural circuits within isolated lumbar segments demonstrate learning by an increase in flexion duration that reduces exposure to a noxious leg shock. We employed this model using a proof-of-principle design to evaluate the role of sparing on lumbar learning and plasticity early (7 days) or late (42 days) after midthoracic SCI in a rodent model. Early after SCI or TX at 7 days, spinal learning was unattainable regardless of whether the animal recovered with or without axonal substrate. Failed (...) Sparing of Descending Axons Rescues Interneuron Plasticity in the Lumbar Cord to Allow Adaptive Learning After Thoracic Spinal Cord Injury This study evaluated the role of spared axons on structural and behavioral neuroplasticity in the lumbar enlargement after a thoracic spinal cord injury (SCI). Previous work has demonstrated that recovery in the presence of spared axons after an incomplete lesion increases behavioral output after a subsequent complete spinal cord transection (TX

2016 Frontiers in neural circuits

35. Cervical and lumbar total disc replacements

OF ABBREVIATIONS ABBREVIATION DEFINITION CTDR Cervical total disc replacement EQ-5D EuroQoL 5 dimensions LTDR Lumbar total disc replacement NDI Neck Disability Index NRS Numeric Rating Scale ODI Oswestry Disability Index RCT Randomised controlled trial SF-36 Medical Outcome Study Short Form 36-Item Health Survey TDR Total disc replacement VAS Visual Analog Scale 4 Total disc replacement KCE Report 254Cs ¦ SYNTHESIS 1. INTRODUCTION Chronic pain linked to spinal conditions is unfortunately commonly experienced (...) in the general population. In Belgium, one adult out of five declared in 2013 having suffered from low back disorder or other chronic back defect in the previous 12 months, and one out of eight from neck disorder or other chronic neck defect in the same period. 1 Separating adjacent vertebrae, intervertebral discs absorb shocks and offer mobility and stability to the spine. Chronic low back and neck pain as well as radiating leg or arm pain, or neurological dysfunctions can be the consequences

2015 Belgian Health Care Knowledge Centre

36. Efficacy and Safety of Acupuncture for Degenerative Lumbar Spinal Stenosis

Information provided by (Responsible Party): Qin Zongshi, Guang'anmen Hospital of China Academy of Chinese Medical Sciences Study Details Study Description Go to Brief Summary: Degenerative Lumbar spinal stenosis (DLSS) is a major problem for public health and the primary reason the older seek lumbar spine surgery. Acupuncture is safe and maybe effective for DLSS but the evidence is poor. Therefore, an objective assessment of acupuncture efficacy is critical for making informed decisions about its (...) extension. (Using NRS questionnaire to measure pain symptoms, and pain measured by NRS ≥ 4.) Roland-Morris score of at least 7. Mild-moderate-severe lumbar central canal spinal stenosis identified by MRI or CT scan. Lower extremity symptoms consistent with neurogenic claudication. Age 50 to 80 years old. Signed the consent and take part in this trial of his/her willing. Exclusion Criteria: Congenital stenosis of vertebral canal, serious indications of DLSS (such as segmental muscular atrophy, bowel

2015 Clinical Trials

37. Effect of Perioperative Lung Protective Strategies on the Occurrence of Postoperative Pulmonary Complications in Patients Undergoing Lumbar Spinal Surgery in the Prone Position

: the patient undergoing elective lumbar spine surgery of two hours or more in the prone position the age: 19 yrs and older the patients had a preoperative risk index for pulmonary complications of more than 2. Exclusion Criteria: Patients with altered mental status or increased intracranial pressure Body mass index more than 35 kg/m2 Patients with persistent hemodynamic instability or intractable shock Severe cardiac disease defined as New York Heart Association class III or IV or acute coronary syndrome (...) Effect of Perioperative Lung Protective Strategies on the Occurrence of Postoperative Pulmonary Complications in Patients Undergoing Lumbar Spinal Surgery in the Prone Position Effect of Perioperative Lung Protective Strategies on the Occurrence of Postoperative Pulmonary Complications in Patients Undergoing Lumbar Spinal Surgery in the Prone Position - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results

2015 Clinical Trials

38. Severe bilateral optic nerve and retinal hypoperfusion in a patient with acute respiratory distress syndrome and septic shock Full Text available with Trip Pro

Severe bilateral optic nerve and retinal hypoperfusion in a patient with acute respiratory distress syndrome and septic shock To report a case of bilateral central retinal artery occlusion with both anterior and posterior ischemic optic neuropathy.A 65-year-old Caucasian woman presented with acute respiratory distress syndrome and septic shock. After treatment with vasopressors and prolonged prone positioning, she was noted to be bilaterally completely blind on hospitalization day 12 (...) . Evaluation revealed evidence of bilateral central retinal artery occlusion and bilateral ischemic optic neuropathy. Magnetic resonance imaging of the orbits demonstrated severe restricted diffusion of both optic nerves consistent with ischemia. Both central retinal artery occlusion and ischemic optic neuropathy have been reported in cases of severe hypotension, blood loss, and prone positioning, most often postoperatively after spinal surgery.To our knowledge, this is the first reported case of bilateral

2017 American journal of ophthalmology case reports

39. CRACKCast E006 – Shock in the ER

is often life threatening if not treated urgently (SEVERE form of an allergic reaction) Central Neurogenic Shock this is NOT the same as spinal shock (more to come in future episodes) usually a diagnosis of EXCLUSION caused by an injury to the cervical or thoracic vertebrae causing peripheral sympathetic denervation look for the classic TRIAD : hypotension, bradycardia, and warm extremities Drug Overdose Due to a sympatholytic or sedative drug e.g. clonidine, TCA, mixed narcotic/benzo Adrenal Crisis (...) CRACKCast E006 – Shock in the ER CRACKCast E006 - Shock in the ER - CanadiEM CRACKCast E006 – Shock in the ER In , by Adam Thomas September 22, 2016 This episode of CRACKCast cover’s Rosen’s Chapter 06, Shock. Shock is a common event in the ER and a good understanding of how to recognize and treat it is essential for ER docs. Shownotes – Rosen’s in Perspective: What is SHOCK? “a transition between life and death” mitochondria are first to be affected in shock The “canaries in the coalmine

2016 CandiEM

40. Microglial cell hyper-ramification and neuronal dendritic spine loss in the hippocampus and medial prefrontal cortex in a mouse model of PTSD. (Abstract)

of the complement factors C1q and C4. Shock exposure promoted a lasting contextual fear response, decreased locomotor activity, exaggerated acoustic startle responses indicative of hyperarousal, and a short-term facilitation of sensorimotor gating function. The shock triggered loss of dendritic spines on pyramidal neurons was accompanied by increased microglial cell number and complexity in the medial prefrontal cortex and dorsal hippocampus, but not in the amygdala. Shock also increased expression of C1q (...) Microglial cell hyper-ramification and neuronal dendritic spine loss in the hippocampus and medial prefrontal cortex in a mouse model of PTSD. Few animal models exist that successfully reproduce several core associative and non-associative behaviours relevant to post-traumatic stress disorder (PTSD), such as long-lasting fear reactions, hyperarousal, and subtle attentional and cognitive dysfunction. As such, these models may lack the face validity required to adequately model pathophysiological

2019 Brain, behavior, and immunity

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>