Efficacy of osteopathic manipulation as an adjunctive treatment for hospitalized patients with pneumonia: a randomized controlled trial.

Background: The Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) is a registered, double-blinded, randomized, controlled trial designed to assess the efficacy of osteopathic manipulative treatment (OMT) as an adjunctive treatment in elderly patients with pneumonia.

Methods: 406 subjects aged >/= 50 years hospitalized with pneumonia at 7 community hospitals were randomized using concealed allocation to conventional care only (CCO), light-touch treatment (LT), or OMT groups. All subjects received conventional treatment for pneumonia.

The newer guidelines for the management of community-acquired pneumonia.

Community-acquired pneumonia (CAP) is a leading cause of death in the world and the sixth most common cause of death in the United States. It is the number one cause of death from infectious diseases in the United States. This article reviews the latest available guidelines from two leading organizations-the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS).

Noninvasive positive pressure ventilation.

Preview In most cases of acute respiratory failure, mechanical ventilation and endotracheal intubation are the preferred treatment. However, a noninvasive approach is proving valuable in selected patients and has some advantages over standard mechanical ventilation. How are patients selected for this therapy? What are its risks and benefits? The authors discuss the usefulness and potential role of this important new technique.