- HUSKY DILF
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aggressively chill
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the current EAST recommendations and the last Cochrane review in 2012 (PMID:22258943)are both for it
however in the March supplement to Neurosurgery in 2013 the review committee comes out strongly AGAINST it noting lack of level one evidence and risk of gastrointestinal bleeding and overwhelming sepsis
obviously considering the horrible nature of quadraplegia and paraplegia in these patients it is tempting to want to do an intervention, but do the risks outweigh the benefits?
tia
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Jul 2, 2014 17:22
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- Adbot
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ADBOT LOVES YOU
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Jun 10, 2024 20:17
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- Looke
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Cochrane library is great
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Jul 2, 2014 17:23
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- Frank Horrigan
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by Ralp
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I thought Cochrane invented warp drive, not whatever this is 
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Jul 2, 2014 17:24
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- byob historian
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I'm an animal abusing piece of shit! I deliberately poisoned my dog to death and think it's funny! I'm an irredeemable sack of human shit!
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Jul 2, 2014 17:27
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- ChairmanMeow
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Fire up the grill everyone eats tonight!
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I don't feel super qualified to make these decision. I would maybe get 2 opinions but ultimately just go with whatever my insurance was willing to cover.
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Jul 2, 2014 17:47
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- cruft
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the current EAST recommendations and the last Cochrane review in 2012 (PMID:22258943)are both for it
however in the March supplement to Neurosurgery in 2013 the review committee comes out strongly AGAINST it noting lack of level one evidence and risk of gastrointestinal bleeding and overwhelming sepsis
obviously considering the horrible nature of quadraplegia and paraplegia in these patients it is tempting to want to do an intervention, but do the risks outweigh the benefits?
tia
I don't know, has this procedure been done much? It sounds like there aren't many case studies so it's difficult to form any sort of conclusion at this stage.
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Jul 2, 2014 17:55
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- Machai
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I never heard of the admin named Steroid, is he better or worse than Ralp?
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Jul 2, 2014 17:56
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- cruft
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I guess I feel like the current knowledge should be explained to the patient and/or their family, and they should make the call. I mean, hell, acute spinal cord injuries? Patient is screwed either way.
Personally I would go for it, become another case study, advancing knowledge is awesome.
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Jul 2, 2014 17:57
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- HUSKY DILF
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aggressively chill
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I don't know, has this procedure been done much? It sounds like there aren't many case studies so it's difficult to form any sort of conclusion at this stage.
there was lots of enthusiasm for it since 80s until the early 2000s but lately the intervention has been done less and less and most neurosurgeons when consulted wont do it for my patients
there were small studies done in randomized controlled fashion that showed some small improvement in ASIA scores but no difference in mortality or overall function even though some sensation and movement might be modestly increased
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Jul 2, 2014 18:02
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- mags
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I am a congenital optimist.
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Jul 2, 2014 18:04
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- Adbot
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ADBOT LOVES YOU
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Jun 10, 2024 20:17
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- cruft
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there was lots of enthusiasm for it since 80s until the early 2000s but lately the intervention has been done less and less and most neurosurgeons when consulted wont do it for my patients
there were small studies done in randomized controlled fashion that showed some small improvement in ASIA scores but no difference in mortality or overall function even though some sensation and movement might be modestly increased
Ah, well, sounds like it may not be worth the risks then.
So there's my opinion, thanks for asking!
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Jul 2, 2014 18:13
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Jul 2, 2014 17:22
