| Chen CM, Su B, Hsu CC, Wang LF. |
------>authors3_c=None ------>paper_class1=1 ------>Impact_Factor=None ------>paper_class3=2 ------>paper_class2=1 ------>vol=28 ------>confirm_bywho=shiemin ------>insert_bywho=hsun ------>Jurnal_Rank=None ------>authors4_c=None ------>comm_author= ------>patent_EDate=None ------>authors5_c=None ------>publish_day=None ------>paper_class2Letter=None ------>page2=1144 ------>medlineContent= ------>unit=E0113 ------>insert_date=20020710 ------>iam=1 ------>update_date= ------>author=??? ------>change_event=6 ------>ISSN=None ------>authors_c=None ------>score=-239 ------>journal_name=Intensive Care Med ------>paper_name=Methylprednisolone does not enhance the surfactant effect in paraquat-induced lung injury ------>confirm_date=20051201 ------>tch_id=088025 ------>pmid=19920429 ------>page1=1138 ------>fullAbstract=OBJECTIVE:: A patient with postherpetic neuralgia (PHN) did not respond to medications, either singly or in combination, or to intrathecal methylprednisolone but responded to intrathecal alcohol. This evidenced-based case management article evaluates and grades the evidence for the prevention and treatment of PHN. METHODS:: A search of published English-language studies on the prevention and treatment of PHN was made. RESULTS:: Randomized clinical studies showed the efficacy of antiviral agents in the prevention of PHN and the use of anticonvulsants, antidepressants, opioids, and Lidoderm patch in the treatment of PHN (level A evidence). The role of epidural local anesthetic and steroid injections in preventing PHN has not been completely established (level B evidence). Intrathecal steroid injections and topical capsaicin may be effective in PHN (level B evidence). No randomized controlled study supports the usefulness of spinal cord stimulation and intrathecal alcohol. CONCLUSIONS:: Postherpetic neuralgia should be managed pharmacologically. If not effective, intrathecal steroid injections or nerve blocks may be tried. Spinal cord stimulation or intrathecal alcohol should be used only as a last resort. ------>tmu_sno=None ------>sno=5683 ------>authors2=None ------>authors3=None ------>authors4=None ------>authors5=None ------>authors6=None ------>authors6_c=None ------>authors=Chen CM, Su B, Hsu CC, Wang LF. ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c=None ------>publish_area=None ------>updateTitle=Evidence-Based Case Report: The Prevention and Management of Postherpetic Neuralgia With Emphasis on Interventional Procedures. ------>language=2 ------>check_flag= ------>submit_date= ------>country=None ------>no=8 ------>patent_SDate=None ------>update_bywho= ------>publish_year=2002 ------>submit_flag= ------>publish_month=None |