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Development and validation of a prediction model for intrapartum fever related to chorioamnionitis in parturients undergoing epidural analgesia.
Sci Rep
December 2024
Department of Anesthesiology, Sichuan Women's and Children's Hospital/Women's and Children's Hospital, Chengdu Medical College, Chengdu, 610000, China.
Intrapartum fever is a common complication in parturients undergoing epidural analgesia (EA), significantly increasing the incidence of maternal and infant complications. This study aims to develop and validate a prediction model for intrapartum fever related to chorioamnionitis (IFTC) in parturients undergoing epidural analgesia. A total of 596 parturients with fever (axillary temperature ≥ 38℃) who received EA from January 2020 to December 2023 were included and randomly assigned to the training set (N = 417) and the validation set (N = 179) according to the ratio of 7:3.
View Article and Find Full Text PDFSIH-EBP score for prediction of efficacy of epidural blood patching in an independent cohort of patients with spontaneous intracranial hypotension.
J Chin Med Assoc
December 2024
College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Background: Epidural blood patching (EBP) is the primary treatment for spontaneous intracranial hypotension (SIH), although multiple attempts may sometimes be necessary. The SIH-EBP score, with a cutoff of ≥3, predicts the response to the first EBP. However, its generalizability requires further confirmation.
View Article and Find Full Text PDFPrimary Results of Our Protocol for Standardization of Perioperative Antiplatelet Agent Management on the Incidence of Epidural Hematoma and Thrombotic Complications in Posterior Cervical Surgery: A Prospective Cohort Study.
Spine Surg Relat Res
November 2024
Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Article Synopsis
- - The study focused on how to manage antiplatelet agents in patients having cervical spinal surgery, looking specifically at risks like epidural hematoma and blood clots.
- - Out of 153 patients, two groups were analyzed: one that didn't use antiplatelet agents before surgery and another that resumed them at specific times around the surgery, with no significant difference in serious complications observed.
- - Results showed higher rates of pre-existing health conditions and stroke risk in the group that resumed antiplatelet medication, but they experienced less intraoperative blood loss and no complications related to bleeding or clotting.
Effects of multiple transcranial magnetic stimulation sessions on pain relief in patients with chronic neuropathic pain: A French cohort study in real-world clinical practice.
Eur J Pain
January 2025
Inserm U1028 Neuropain, Université Jean-Monnet, F-42023, Saint-Etienne and Centre de Recherche en Neurosciences de Lyon (CRNL) UMR5292, Saint-Etienne et Lyon, France.
Background: Current clinical trials indicate that repetitive transcranial magnetic stimulation (rTMS) is effective in reducing drug-resistant neuropathic pain (NP). However, there is a lack of studies evaluating the long-term feasibility and clinical efficacy of rTMS in large patient cohorts in real-world conditions.
Methods: In this retrospective cohort study, we analysed 12 years of clinical data to assess the long-term analgesic effects of 20 Hz rTMS over the primary motor cortex in patients with NP.
Frequency-dependent and capacitive tissue electrical properties in spinal cord stimulation models.
bioRxiv
November 2024
Department of Biomedical Engineering, The City College of New York, CUNY, New York, NY.
Article Synopsis
- - The study investigates how spinal cord stimulation (SCS) models that calculate electric fields (E-fields) can be more accurately represented by considering frequency-dependent properties of spinal tissues, rather than using the traditional quasi-static approximation (QSA), which overlooks important factors.
- - Researchers utilized a finite element method (FEM) to analyze E-fields for different stimulation controls and frequencies, comparing results with the QSA method across multiple locations in the spinal column and discovering that electrical properties significantly affect E-field magnitude.
- - Findings reveal that the mode of stimulation (voltage-controlled vs. current-controlled) influences the E-field's impact on spinal cord heating and waveform distortion, with voltage-controlled methods being more affected by the frequency-dependent properties than current
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