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Meperidine to relieve shivering or bladder spasm: clinical effectiveness Meperidine to relieve shivering or bladder spasm: clinical effectiveness Meperidine to relieve shivering or bladder spasm: clinical effectiveness CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Meperidine to relieve shivering or bladder spasm: clinical (...) effectiveness. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary of Abstracts. 2013 Authors' conclusions One randomized controlled trial and one non-randomized study regarding the clinical effectiveness of meperidine for the relief of shivering in adults with brain injury undergoing hypothermia protocol were identified. No literature regarding the clinical effectiveness of meperidine for the relief of bladder spasm in adult patients following urinary catheter
Meperidine to Relieve Shivering or Bladder Spasm: Clinical Effectiveness Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should (...) study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Meperidine to Relieve Shivering or Bladder Spasm
A comparison between remifentanil and meperidine for labor analgesia: a systematic review Remifentanil is an ultrashort-acting opioid with favorable pharmacokinetic properties that make it suitable as a labor analgesic. Although it crosses the placenta freely, it is eliminated quickly in the neonate by rapid metabolism and redistribution. We aimed to determine whether remifentanil compared with meperidine is effective in reducing pain scores in laboring parturients. Other effects on the mother (...) , the labor process, and the neonate were also examined.MEDLINE, CINAHL, Embase, Cochrane CENTRAL, and Maternity and Infant Care databases were searched without language restriction using multiple keywords for labor analgesia, remifentanil, and meperidine. Published abstracts from 5 key research meetings and references from retrieved articles were examined for additional studies. Randomized controlled trials in laboring parturients comparing remifentanil with meperidine were selected. Risk of bias
Remifentanil vs. meperidine for patient-controlled analgesia during colonoscopy: a randomized double-blind trial The aim was to compare patients' and endoscopists' satisfaction in terms of efficacy and safety of remifentanil patient-controlled analgesia (PCA) during colonoscopy with that of a combination of midazolam and meperidine.Sixty patients undergoing colonoscopy were randomly assigned to two groups. All of the patients received midazolam 0.03 mg/kg intravenously for premedication (...) . In the remifentanil group, a bolus dose of remifentanil was given, and a patient-controlled sedation analgesia (PCSA) pump was set to inject further bolus doses with no "lockout" time. Patients in the meperidine group received a bolus of meperidine and sham PCSA. Non-invasive arterial blood pressure, electrocardiography, and pulse oximetry were monitored throughout the study. The Observer's Assessment of Alertness and Sedation Scale (OAA/S) was performed at baseline, every 5 min during, and after colonoscopy
The relative efficacy of meperidine for the treatment of acute migraine: a meta-analysis of randomized controlled trials Despite guidelines recommending against opioids as first-line treatment for acute migraine, meperidine is the agent used most commonly in North American emergency departments. Clinical trials performed to date have been small and have not arrived at consistent conclusions about the efficacy of meperidine. We performed a systematic review and meta-analysis to determine (...) identified, of which 11 were appropriate and had available data. Four trials involving 254 patients compared meperidine to dihydroergotamine, 4 trials involving 248 patients compared meperidine to an antiemetic, and 3 trials involving 123 patients compared meperidine to ketorolac. Meperidine was less effective than dihydroergotamine at providing headache relief (OR=0.30; 95% confidence interval [CI] 0.09 to 0.97) and trended toward less efficacy than the antiemetics (OR=0.46; 95% CI 0.19 to 1.11
The relative efficacy of meperidine for the treatment of acute migraine: a meta-analysis of randomized controlled trials The relative efficacy of meperidine for the treatment of acute migraine: a meta-analysis of randomized controlled trials The relative efficacy of meperidine for the treatment of acute migraine: a meta-analysis of randomized controlled trials Friedman B W, Kapoor A, Friedman M S, Hochberg M L, Rowe B H CRD summary The authors concluded that meperidine is less effective (...) for migraine headache than dihydroergotamine regimens and may be more likely to cause adverse events. Meperidine may also be less effective than antiemetics. A degree of caution may be necessary in interpreting these conclusions because the primary trials were small, their quality was mixed and there were marked differences between them. Authors' objectives To compare the efficacy and safety of injectable opioids versus other treatments for acute migraine headache. Searching The following databases were
Gastroenterologist-administered propofol versus meperidine and midazolam for advanced upper endoscopy: a prospective, randomized trial Gastroenterologist-administered propofol versus meperidine and midazolam for advanced upper endoscopy: a prospective, randomized trial Gastroenterologist-administered propofol versus meperidine and midazolam for advanced upper endoscopy: a prospective, randomized trial Vargo J J, Zuccaro G, Dumot J A, Shermock K M, Morrow J B, Conwell D L, Trolli P A, Maurer W G (...) Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of propofol for gastrointestinal endoscopy compared with meperidine and midazolam. A propofol 1% emulsion (Baxter Healthcare Corp.) was given as a loading dose of either 40 mg