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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825521PMC
http://dx.doi.org/10.1007/s12630-019-01465-xDOI Listing

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Article Synopsis
  • Current guidelines suggest a personalized and combination approach to pain management, emphasizing the use of both drug and non-drug therapies, with a focus on reducing chronic pain risks in acute pain cases like surgery or trauma.
  • Auricular vagus nerve stimulation (aVNS) is explored as a potentially effective non-drug therapy for managing both chronic and acute pain, with this study aiming to assess its clinical efficacy and safety.
  • The analysis included 23 studies on chronic pain, 12 on acute postoperative pain, and 7 on experimental acute pain, finding significant pain reduction in chronic conditions through aVNS compared to sham treatments, indicating its potential effectiveness.
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Objective: To summarize the current available evidence and to outline recommendations for the future research of acupuncture for patients after percutaneous coronary intervention (PCI).

Design: Seven electronic databases were searched: China National Knowledge Infrastructure (CNKI), Wan Fang Database, Chongqing VIP Chinese Science and Technology Periodical Database (VIP), Chinese Biomedical Literature Database (CBM), Cochrane Library, PubMed, and EMBASE. All studies on acupuncture for patients after PCI were included.

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Early and late hospital readmissions after percutaneous left atrial appendage closure.

Rev Esp Cardiol (Engl Ed)

August 2024

Quebec Heart and Lung Institut, Quebec, Canada; Servicio de Cardiología, Institut Clinic Cardiovascular, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain. Electronic address:

Article Synopsis
  • Percutaneous left atrial appendage closure (LAAC) is a procedure to prevent blood clots in patients with nonvalvular atrial fibrillation, but there is limited information on readmission rates following the procedure.
  • A study of 1419 patients found that 18.1% were readmitted within a year, primarily due to bleeding and heart failure, with specific health conditions increasing the likelihood of readmission.
  • Both early and late readmissions were linked to a higher risk of mortality within two years, highlighting the importance of managing patient health before and after LAAC.
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Background: Percutaneous auricular nerve stimulation (neuromodulation) is an analgesic technique involving the percutaneous implantation of multiple leads at various points on/around the ear followed by the delivery of electric current using an external pulse generator. A device is currently available within the USA cleared to treat symptoms from opioid withdrawal, and multiple reports suggest a possible postoperative analgesic effect. The current randomized, controlled pilot study was undertaken to (1) determine the feasibility and optimize the protocol for a subsequent definitive clinical trial and (2) estimate the treatment effect of auricular neuromodulation on postoperative pain and opioid consumption following total knee arthroplasty.

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