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.

1,599 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

121. Effect of Remote Ischemic Conditioning on Trauma Patients With Hemorrhagic Shock

Application and completion of Remote Ischemic Conditioning (RIC) within 4 hours of the injury Exclusion Criteria: Pregnancy Non-hemorrhagic shock (i.e. tension pneumothorax, cardiac tamponade, spinal shock, etc.) Major burns > 20% total body surface area Fracture of both lower extremities (i.e. traumatic amputation, fractures) Absence of vital signs prior to admission, ongoing CPR, possibly dead on admission or not expected to survive beyond a few hours. Injury in both legs (traumatic amputation (...) Effect of Remote Ischemic Conditioning on Trauma Patients With Hemorrhagic Shock Effect of Remote Ischemic Conditioning on Trauma Patients With Hemorrhagic Shock - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding

2014 Clinical Trials

122. Steroid Use in Pediatric Fluid and Vasoactive Infusion Dependent Shock

, and/or is expected to no longer be on vasoactive infusion at the time the first dose of study drug will be administered Patients for whom primary cardiogenic shock is strongly suspected Patients for whom spinal shock is strongly suspected Patients for whom hemorrhagic or hypovolemic shock is strongly suspected Patients who were previously enrolled in the STRIPES study Patients who receive a vasoactive agent for reasons not related to shock Physician refusal Contacts and Locations Go to Information from (...) Steroid Use in Pediatric Fluid and Vasoactive Infusion Dependent Shock Steroid Use in Pediatric Fluid and Vasoactive Infusion Dependent Shock - Pilot Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2014 Clinical Trials

123. Effect of radial shock wave therapy on pain and muscle hypertonia: a double-blind study in patients with multiple sclerosis. (Full text)

Effect of radial shock wave therapy on pain and muscle hypertonia: a double-blind study in patients with multiple sclerosis. Radial shock wave therapy (RSWT) has been extensively used in rehabilitative medicine to treat pain, and more recently muscle hypertonia, in patients with cerebral palsy and stroke.To assess the long-term effects of RSWT in a cohort of subjects affected by multiple sclerosis (MS) who were suffering from painful hypertonia of ankle extensor muscles.In this randomised (...) , double blind, placebo-controlled study, we treated 34 patients with four sessions of RSWT (once weekly) and treated 34 patients with placebo. Participants were assessed at baseline, 1 week after the first session, and 1 week and 4 weeks after the last session. We measured pain using the visual analogue scale for pain, while we assessed muscle tone using the modified Ashworth scale and evaluated spinal excitability using the H-reflex.After RSWT, muscle tone decreased 1 week after the last session

2014 Multiple sclerosis (Houndmills, Basingstoke, England) PubMed

124. The efficacy, safety, effectiveness, and cost-effectiveness of ultrasound and shock wave therapies for low back pain: a systematic review (PubMed)

of bias. For acute patients with LBP and leg pain attributed to disc herniation, ultrasound, traction, and low-power laser obtained similar results. For chronic LBP patients without leg pain, ultrasound was less effective than spinal manipulation, whereas a shock wave device and transcutaneous electrical nerve stimulation led to similar results. Results from the only study comparing ultrasound versus a sham procedure are unreliable because of the inappropriateness of the sham procedure, low sample (...) The efficacy, safety, effectiveness, and cost-effectiveness of ultrasound and shock wave therapies for low back pain: a systematic review Shock wave and especially ultrasound are commonly used to treat low back pain (LBP) in routine practice.To assess the evidence on the efficacy, effectiveness, cost-effectiveness, and safety of ultrasound and shock wave to treat LBP.Systematic review.An electronic search was performed in MEDLINE, EMBASE, and the Cochrane Library databases up to July 2009

2011 EvidenceUpdates

125. Effects of Reversible Spinalization on Individual Spinal Neurons (Full text)

Effects of Reversible Spinalization on Individual Spinal Neurons Postural limb reflexes (PLRs) represent a substantial component of the postural system responsible for stabilization of dorsal-side-up trunk orientation in quadrupeds. Spinalization causes spinal shock, that is a dramatic reduction of extensor tone and spinal reflexes, including PLRs. The goal of our study was to determine changes in activity of spinal interneurons, in particular those mediating PLRs, that is caused (...) a group of neurons that were coactivated with extensors during PLRs before RS and exhibited a dramatic (>80%) decrease in their activity during RS. We suggest that these neurons are responsible for reduction of extensor tone and postural reflexes during spinal shock.

2013 The Journal of Neuroscience PubMed

126. Shock, Distributive (Overview)

in intensive care units (ICUs). (See , , , and .) Other causes of distributive shock include (SIRS) due to noninfectious inflammatory conditions such as burns and pancreatitis; ( ); anaphylaxis; reactions to drugs or toxins, including insect bites, transfusion reaction, and heavy metal poisoning; addisonian crisis; hepatic insufficiency; and neurogenic shock due to brain or spinal cord injury. (See and .) Types of shock Shock is a clinical syndrome characterized by inadequate tissue perfusion that results (...) Shock, Distributive (Overview) Distributive Shock: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4Njg5LW92ZXJ2aWV3 processing > Distributive Shock Updated: Jan 05, 2018

2014 eMedicine.com

127. Septic Shock (Overview)

studies, as indicated, may be used to evaluate patients with suspected severe sepsis and septic shock: Chest, abdominal, or extremity radiography Abdominal ultrasonography Computed tomography of the abdomen or head Lumbar puncture A lumbar puncture/spinal fluid test is indicated in the following circumstances: Clinical evidence or suspicion of meningitis Clinical evidence or suspicion of encephalitis See for more detail. Management Patients with sepsis, severe sepsis, and septic shock require (...) Septic Shock (Overview) Septic Shock: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4NDAyLW92ZXJ2aWV3 processing > Septic Shock Updated: Jan 11, 2019 Author

2014 eMedicine.com

128. Shock (Overview)

in accordance with the Frank-Starling curve and, therefore, results in decreased cardiac output. Hypovolemia due to hemorrhage additionally decreases oxygen-carrying capacity through the direct loss of available hemoglobin. Cardiogenic shock resulting from congenital heart disease or cardiomyopathies develops from primary pump failure and inadequate cardiac output. Distributive shock from sepsis, anaphylaxis, or high-level spinal cord injury results in peripheral vasodilation and decreased systemic vascular (...) hypovolemia even if the patient has not actually had any net fluid loss. As a result, the common physiologic disturbance that affects DO 2 in is a decrease in preload caused as a result of massive vasodilation and inadequate effective intravascular volume. Common causes of distributive shock include anaphylaxis, neurologic injury (eg, head injury, spinal shock), sepsis, and drug-related causes. [ ] Causes of anaphylaxis include the following: Medications (eg, antibiotics, vaccines, other drugs) Blood

2014 eMedicine Pediatrics

129. Shock, Septic (Diagnosis)

studies, as indicated, may be used to evaluate patients with suspected severe sepsis and septic shock: Chest, abdominal, or extremity radiography Abdominal ultrasonography Computed tomography of the abdomen or head Lumbar puncture A lumbar puncture/spinal fluid test is indicated in the following circumstances: Clinical evidence or suspicion of meningitis Clinical evidence or suspicion of encephalitis See for more detail. Management Patients with sepsis, severe sepsis, and septic shock require (...) Shock, Septic (Diagnosis) Septic Shock: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4NDAyLW92ZXJ2aWV3 processing > Septic Shock Updated: Jan 11, 2019 Author

2014 eMedicine Emergency Medicine

130. Septic Shock (Diagnosis)

studies, as indicated, may be used to evaluate patients with suspected severe sepsis and septic shock: Chest, abdominal, or extremity radiography Abdominal ultrasonography Computed tomography of the abdomen or head Lumbar puncture A lumbar puncture/spinal fluid test is indicated in the following circumstances: Clinical evidence or suspicion of meningitis Clinical evidence or suspicion of encephalitis See for more detail. Management Patients with sepsis, severe sepsis, and septic shock require (...) Septic Shock (Diagnosis) Septic Shock: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4NDAyLW92ZXJ2aWV3 processing > Septic Shock Updated: Jan 11, 2019 Author

2014 eMedicine.com

131. Shock, Distributive (Diagnosis)

in intensive care units (ICUs). (See , , , and .) Other causes of distributive shock include (SIRS) due to noninfectious inflammatory conditions such as burns and pancreatitis; ( ); anaphylaxis; reactions to drugs or toxins, including insect bites, transfusion reaction, and heavy metal poisoning; addisonian crisis; hepatic insufficiency; and neurogenic shock due to brain or spinal cord injury. (See and .) Types of shock Shock is a clinical syndrome characterized by inadequate tissue perfusion that results (...) Shock, Distributive (Diagnosis) Distributive Shock: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4Njg5LW92ZXJ2aWV3 processing > Distributive Shock Updated: Jan 05, 2018

2014 eMedicine.com

132. Shock, Septic (Overview)

studies, as indicated, may be used to evaluate patients with suspected severe sepsis and septic shock: Chest, abdominal, or extremity radiography Abdominal ultrasonography Computed tomography of the abdomen or head Lumbar puncture A lumbar puncture/spinal fluid test is indicated in the following circumstances: Clinical evidence or suspicion of meningitis Clinical evidence or suspicion of encephalitis See for more detail. Management Patients with sepsis, severe sepsis, and septic shock require (...) Shock, Septic (Overview) Septic Shock: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4NDAyLW92ZXJ2aWV3 processing > Septic Shock Updated: Jan 11, 2019 Author

2014 eMedicine Emergency Medicine

133. Spinal immobilization including cervical immobilization is no longer widely recommended for ALL trauma patients

, especially during transfers for X-rays, etc, increased length of stays in our departments. The cervical collar increases ICP because of decreased venous return due venous compression of the neck Read this article for better understanding: Prehospital Use of Cervical Collars in Trauma Patients: A Critical Review Available at: Two podcasts you should listen to: 1) (This one will give you a good review of differentiating spinal shock vs neurogenic shock, as well as different types of SCI) 2) Bottomline (...) Spinal immobilization including cervical immobilization is no longer widely recommended for ALL trauma patients Emergency Medicine Blog: Spinal immobilization including cervical immobilization is no longer widely recommended for ALL trauma patients Tuesday, May 03, 2016 Spinal immobilization including cervical immobilization is no longer widely recommended for ALL trauma patients Spinal immobilization including cervical immobilization is no longer widely recommended for ALL trauma patients

2016 Emergency Medicine Blog

134. Autologous Mesenchymal Stem Cells Transplantation in Cervical Chronic and Complete Spinal Cord Injury

Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Blunt spinal cord injury at cervical level, between C5 and C7, or penetrating spinal cord injury, at the same level, provided that the mechanism of injury had been spinal shock, ischemia or hematoma, with at least 12 months of injury; ASIA grade A; Signing of the written consent. Exclusion Criteria: Spinal cord injuries by sharp objects, firearms, and not traumatic or congenital causes, even if at different levels of the spinal cord (...) Autologous Mesenchymal Stem Cells Transplantation in Cervical Chronic and Complete Spinal Cord Injury Autologous Mesenchymal Stem Cells Transplantation in Cervical Chronic and Complete Spinal Cord Injury - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2015 Clinical Trials

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

Efficacy and Safety of Acupuncture for Degenerative Lumbar Spinal Stenosis Efficacy and Safety of Acupuncture for Degenerative Lumbar Spinal Stenosis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Efficacy (...) and Safety of Acupuncture for Degenerative Lumbar Spinal Stenosis The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02644746 Recruitment Status : Completed First Posted : January 1, 2016 Last Update Posted : February 15, 2019 Sponsor: Guang'anmen Hospital of China Academy of Chinese Medical Sciences

2015 Clinical Trials

136. Spinal Cord Infarct During Concomitant Circulatory Support With Intra-Aortic Balloon Pump and Veno-Arterial Extracorporeal Membrane Oxygenation. (PubMed)

with neurologic injury of the lower limbs.Three female patients presented in cardiogenic shock or arrest requiring circulatory support. Intra-aortic balloon pump was inserted, and peripheral veno-arterial extracorporeal membrane oxygenation was initiated with subsequent loss of native ejection in each case. Neurologic signs were noted clinically, and subsequent imaging demonstrated spinal cord infarction and small aortic size for all three patients.The timeline of events suggests a causal relation between (...) Spinal Cord Infarct During Concomitant Circulatory Support With Intra-Aortic Balloon Pump and Veno-Arterial Extracorporeal Membrane Oxygenation. To report a series of three patients who received simultaneous circulatory support with both veno-arterial extracorporeal membrane oxygenation and intra-aortic balloon pump and subsequently developed spinal cord infarction, and present a brief review of the relevant literature.Hospital medical records and MEDLINE and PubMed databases.Any patient who

2015 Critical Care Medicine

137. Spinal Anesthesia in a Patient With a History of Systemic Capillary Leak Syndrome (Clarkson Disease). (PubMed)

Spinal Anesthesia in a Patient With a History of Systemic Capillary Leak Syndrome (Clarkson Disease). The aim of this study was to review the relative risks, benefits, and anesthetic considerations of neuraxial, regional, and general anesthesia in a patient with known systemic capillary leak syndrome (SCLS) who presents for elective total knee replacement.Systemic capillary leak syndrome (or Clarkson disease) is a rare disorder involving endothelial dysfunction of uncertain pathogenesis (...) characterized by the development of hypotension, hemoconcentration, and hypoalbuminemia in the absence of secondary causes of shock. Literature regarding the anesthetic management of such patients is extremely sparse. To date, all published cases involved those who experienced exacerbations preoperatively, intraoperatively, or postoperatively. There are no reports pertaining to the anesthetic management of patients with a history of the disease who are under remission. We present a case report of a patient

2015 Regional Anesthesia and Pain Medicine

138. The Influence of Insurance Status on the Surgical Treatment of Acute Spinal Fractures. (Full text)

The Influence of Insurance Status on the Surgical Treatment of Acute Spinal Fractures. A retrospective, propensity score, multivariate analysis of the National Trauma Data Bank (NTDB) between 2008 and 2011.The aim of this study was to determine the relationship between insurance status and rates of surgery for acute spinal fractures with and without spinal cord injury (SCI).The decision for surgery in patients with spinal fractures is often based on fracture pattern and stability, associated (...) SCI, and the presence of ligamentous and other associated injuries. It is poorly understood how nonclinical factors, such as insurance status, influence the decision for surgical intervention in patients sustaining spinal trauma.Using NTDB admission years 2008 to 2011, we included patients 18 to 64 years old who sustained a fracture of the cervical or thoracolumbar spine. Patients were excluded if they sustained polytrauma (Injury Severity Score ≥27) or a major injury (Abbreviated Injury Scale

2015 Spine PubMed

139. Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia. (Full text)

-shock protein 20 (phospho-Hsp20) in the spinal cord were evaluated by quantitative real-time polymerase chain reaction and western blot analysis.The time courses of expressions of miR-320 and phospho-Hsp20 in the spinal cord, after the transient ischemia, indicated that expression of phospho-Hsp20 was negatively correlated with expression of miR-320. Transfection of antagomiR-320 significantly reduced expression of miR-320 in the spinal cord and dramatically up-regulated expression of phospho-Hsp20 (...) Inhibition of micro-ribonucleic acid-320 attenuates neurologic injuries after spinal cord ischemia. Micro ribonucleic acids (miRNAs) are involved in a wide range of biological functions, in multiple tissues, including the central nervous system. We investigated a novel neuroprotective strategy of down-regulation of miR-320 in the spinal cord under the condition of transient ischemia.Spinal cord ischemia was induced in rats by cross-clamping the descending aorta for 14 minutes. Lentivirus

2015 Journal of Thoracic and Cardiovascular Surgery PubMed

140. Is temporal summation of pain and spinal nociception altered during normal aging? (Full text)

Is temporal summation of pain and spinal nociception altered during normal aging? This study examines the effect of normal aging on temporal summation (TS) of pain and the nociceptive flexion reflex (RIII). Two groups of healthy volunteers, young and elderly, received transcutaneous electrical stimulation applied to the right sural nerve to assess pain and the nociceptive flexion reflex (RIII-reflex). Stimulus intensity was adjusted individually to 120% of RIII-reflex threshold, and shocks were

2015 Pain PubMed

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