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Jila Agah, Roya Baghani, Yaser Tabaraei, Abolfazl Rad
Labor pain is one of the most tiresome types of pain. So human has been seeking to allay this pain until now. Administration of a suitable agent such as Entonox during labor is very beneficial for childbirth outcomes. Entonox can be administered in two ways: intermittently and continuously. The aim of this study is to demonstrate whether continuous method is as safe as intermittent method? This randomized clinical trial was performed in Mobini Hospital, Sabzevar, Iran. One hundred admitted women for vaginal delivery were included in this study...
2016: Iranian Journal of Pharmaceutical Research: IJPR
Kelly Madden, Philippa Middleton, Allan M Cyna, Mandy Matthewson, Leanne Jones
BACKGROUND: This review is one in a series of Cochrane reviews investigating pain management for childbirth. These reviews all contribute to an overview of systematic reviews of pain management for women in labour, and share a generic protocol. This review updates an earlier version of the review of the same title. OBJECTIVES: To examine the effectiveness and safety of hypnosis for pain management during labour and childbirth. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2015) and the reference lists of primary studies and review articles...
2016: Cochrane Database of Systematic Reviews
Tahereh Fathi Najafi, Narjes Bahri, Hosein Ebrahimipour, Ali Vafaee Najar, Yasamin Molavi Taleghani
INTRODUCTION: In order to prevent medical errors, it is important to know why they occur and to identify their causes. Healthcare failure modes and effects analysis (HFMEA) is a type of qualitative descriptive that is used to evaluate the risk. The aim of this study was to assess the risks of using Entonox for labor pain by HFMEA. METHODS: A mixed-methods design (qualitative action research and quantitative cross-sectional research) was used. The modes and effects of failures in the process of using Entonox were detected and analyzed during 2013-2014 at Hefdahe Shahrivar Hospital, Mashhad, Iran...
March 2016: Electronic Physician
Henrique Horta Veloso
No abstract text is available yet for this article.
2016: Critical Care Research and Practice
Kambiz Masoumi, Arash Forouzan, Sina Saghari, Maryam Feli, Ali Reza Sattari, Ali Asgari Darian
The purpose of this study was to determine if the Entonox gas could cause adequate analgesic and sedative effects in patients who need cardioversion. In this randomized not blinded clinical trial, the sedative and analgesic effects of midazolam and fentanyl were compared with Entonox. Eligible patients who need synchronized cardioversion because of dysrhythmia were randomly divided into two groups. The first group received intravenous midazolam and fentanyl; the second group received Entonox through a blower-dependent mask...
2015: Critical Care Research and Practice
Simi Mohan, Ruma Nayak, Reju Joseph Thomas, Vinitha Ravindran
Pediatric pain is often undertreated/neglected due to time constraints, difficulties in timing of oral analgesics, fear of side effects of opioids and anxiolytics, and apprehension of additional pain in the use of local anesthetic injections. In this study, the researcher was prompted to choose rapidly acting interventions that were low dose and allowed the child to stay alert, suitable for a quick discharge. The purpose of this study was to evaluate the effects of Entonox, play therapy, and a combination to relieve procedural pain in children aged 4-15 years...
December 2015: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
L A Miller, H Makins, R Eltringham, R Neighbour
The Diamedica Sevoflurane Inhaler (Diamedica UK Ltd, Bratton Fleming, UK) (DSI) is a breathing system which includes a modification of an existing vaporiser (Diamedica Draw-over Vaporiser, Diamedica UK Ltd, Bratton Fleming, UK), to enable the delivery of 0.8% sevoflurane. Previous studies have suggested that self-administered sevoflurane at sub-anaesthetic concentration can provide useful pain relief during the first stage of labour and that it may be more effective than Entonox. Further research and potential clinical use have been impeded by the lack of a practical delivery system...
July 2015: Anaesthesia and Intensive Care
Jessica Lynde, Ollie Zorab
BACKGROUND: Pain presents regularly in a range of medical and traumatic conditions. Ongoing monitoring for STEMI, limb fractures and major trauma, as well as audits on paediatric care have all indicated, however, that adequate pain management is not yet universal. Involvement in the ASCQI project demonstrated the benefits of using QI methods to engage with clinicians, to identify barriers to providing evidence-based care and possible solutions. A QI approach was thus employed to tackle obstacles to optimal pain management, as part of the ASCQI Impact study...
June 2015: Emergency Medicine Journal: EMJ
Alex J Ball, Said Din, Mark Donnelly, Stuart A Riley
BACKGROUND AND STUDY AIMS: Entonox is a 50 : 50 combination of nitrous oxide and oxygen, which may be used to manage pain during colonoscopy. The optimal mode of Entonox administration is unknown. The aim of this study was therefore to compare continuous and as-required Entonox use. PATIENTS AND METHODS: Patients attending for screening colonoscopy at a single centre were randomized to continuous or as-required Entonox use. The primary outcome measure was the patient's overall pain rating at the time of discharge (verbally administered numerical ratings scale, 0=no pain and 10=extreme pain)...
March 2015: European Journal of Gastroenterology & Hepatology
Jila Agah, Roya Baghani, Seid Hossein Safiabadi Tali, Yaser Tabarraei
BACKGROUND: Entonox (N2O2) which is an inhalational gas for relieving labor pain is commonly used intermittently; however some women are interested in continuous breathing in face mask. So we decided to compare the complications induced by two methods to find out whether it is safe to permit the mothers to use Entonox continuously or not. PATIENTS AND METHODS: This randomized clinical trial was performed in Mobini Hospital, Sabzevar, Iran. 50 parturients used Entonox intermittently and 50 cases used it continuously during labor...
2014: Journal of Pregnancy
Mostafa Abdel-Halim, Suzanne Langley, Manish Kaushal
No abstract text is available yet for this article.
October 2013: International Journal of Surgery
R Bevan, H Miller, D Thapa, M Ritchie, J Painter, C Rees
INTRODUCTION: The National Bowel Cancer Screening Programme has been extended to include a one-off flexible sigmoidoscopy (FSIG) to all aged 55, after a large UK study demonstrated reduction in colorectal cancer incidence and death rates when FSIG is performed and adenomas removed. BowelScope screening is being piloted in 6 centres - South of Tyne and Wear (SOTW), Norwich, St Mark's, Surrey, Kent and Medway, and Wolverhampton. SOTW was the first centre to offer screening. METHODS: We describe delivery of BowelScope at SOTW...
June 2014: Gut
R Bevan, C Nickerson, J Patnick, R Loke, B Saunders, J Stebbing, R Tighe, A Veitch, J Painter, Cj Rees
INTRODUCTION: UK population colorectal cancer (CRC) screening has been successfully implemented with Bowel Cancer Screening Programme (BCSP) faecal occult blood testing biannually from age 60-75. A large UK study of once-only flexible sigmoidoscopy (FSIG) demonstrated a reductions in CRC incidence of 33% and death rates of 43% (1). This, with the screening centre infrastructure developed for the FOB programme, allowed provision of a new arm of BCSP, offering FSIG to 55 year olds in England, known as BowelScope screening...
June 2014: Gut
A Ball, J Campbell, Sa Riley
INTRODUCTION: Entonox may be used to improve patient experience during colonoscopy. Nitrous oxide is rapidly eliminated which minimises after effects and inconvenience to patients. Despite its advantages, Entonox is used in only a minority of procedures in the UK. We sought to understand the reasons for its low utilisation. METHODS: Colonoscopists within the English Bowel Cancer Screening Programme (BCSP) were invited to participate in a web-based survey, assessing the availability, current practices and perceptions of Entonox during colonoscopy...
June 2014: Gut
A Ball, Sa Riley
INTRODUCTION: Colonoscopy frequently causes discomfort and a range of medications are used to improve the patient experience. The relationship between medication use and patient comfort, however, is complex and subject to a number of potential biases. We sought to describe the relationship between patient comfort and medication use within the English Bowel Cancer Screening Programme (BCSP). METHODS: Procedural information for colonoscopy examinations performed within the English BCSP is prospectively entered into a national database...
June 2014: Gut
M Duku, D Ng, S De George, T Hughes, K Tierney, S Turnbull, L Diggle
INTRODUCTION: Randomised control trials (RCTs) have demonstrated that once-only flexible sigmoidoscopy (FS) between ages of 55 to 64 reduces both incidence and mortality from colorectal cancer. A key marker of quality in FS screening is adenoma detection rate (ADR), which relies on effective bowel preparation and good technique. The States of Jersey introduced once-only FS at age 60 in February 2013. This study aims to evaluate the one-year outcomes of the programme. METHODS: Jersey residents aged 60 were invited by post to participate in the programme...
June 2014: Gut
Sm Mather, S Sen
INTRODUCTION: Nitrous oxide has been used for decades as an inhalational analgesic in labour. It is considered to be generally safe as it is rapidly eliminated via the lungs preventing accumulation in the mother or fetus. In labour its use is intermittent and for a relatively short period of time. This case highlights a potentially serious side effect occurring from incorrect use. CASE: A 27 year old lady with a known disc prolapse was admitted with back pain at 30 weeks gestation...
June 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
Anna Lyons
No abstract text is available yet for this article.
2011: Midwives
Ramnik V Patel, Cho Cho, Christopher Medd, Janet Cresswell
A 19-year-old primipara woman was admitted in labour with positive vaginal swab for group B Streptococcus and given benzylpenicillin and ranitidine. She used Entonox for pain relief. She received bupivacaine in the epidural catheter and shortly after developed sensation of foreign body in her throat with muffled voice and isolated angioneurotic oedema of the uvula. She responded well to H1 and H2 histamine blockers and steroids and epinephrine were kept as standby. She recovered well soon after delivery. Penicillin, Entonox or bupivacaine seemed possible cause of the Quincke's disease...
2014: BMJ Case Reports
Mojtaba Rahimi Varposhti, Naghmeh Ahmadi, Mehrdad Masoodifar, Zahra Shahshahan, Morteza Heydari Tabatabaie
BACKGROUND: We designed a study to evaluate the effectiveness of continuous low dose infusion of remifentanil adding to self-administration of entonox administered for pain relief during the active phase of first stage of labor. MATERIALS AND METHODS: Thirty healthy term pregnant women recruited in our randomized double-blind, cross over study. They received the study medicines during two 30-min periods with a 15-min wash-out sequence after each period. Fifteen parturient used remifentanil as a single bolus dose followed by constant low dose infusion and self-administration of entonox (group R) during the first period and entonox and saline (group P) during the second period, while the remainder of the parturient used the drugs in a reverse order...
2013: Advanced Biomedical Research
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