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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Generalitat de Catalunya

Pregnant women in labor with epidural analgesia do not have to be routinely administered oxytocin, neither to prevent slowing of the birth process, nor to reduce the incidence of instrumental deliveries. Regardless of epidural analgesia, confirmation of delayed labor progress is required to consider oxytocin treatment. The benefits of administering oxytocin without this confirmation do not outweigh the risks and its inappropriate use may cause harm to the woman or baby.

Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Generalitat de Catalunya

Performing a vaginal examination is the method used by obstetrics professionals to determine the onset of labor, evaluate its progression and diagnose labor dystocia. Performing vaginal examinations at intervals more frequently than necessary in pregnant women during the birth process can lead to an overdiagnosis of labor dystocia, triggering a cascade of interventions, such as the use of oxytocin or the performance of cesarean sections. Performing frequent vaginal examinations may increase the ...

NICE

NICE

Varices are dilated veins. Gastric varices are prone to bleeding, and this is associated with high mortality and poor prognosis. The aim of this treatment is to obliterate the varices and manage acutely bleeding gastric varices or those at high risk of bleeding. Evidence on the safety and efficacy of transvenous obliteration of gastric varices is adequate in the short term but limited in the long term.

NICE

NICE

Clinicians wanting to do percutaneous transluminal renal sympathetic denervation for resistant hypertension should: Inform the clinical governance leads in their healthcare organisation, ensure that people (and their families and carers as appropriate) understand the procedure's safety and efficacy, and any uncertainties about these, audit and review clinical outcomes of everyone having the procedure and discuss the outcomes of the procedure during their annual appraisal to reflect, learn and ...

NICE

NICE

Neuromas are thickenings of tissue around a nerve, which can happen after injuries to the nerve, such as a cut, a crushing injury, nerve compression or an excessive stretch. Peripheral neuromas affect nerves outside the brain and spinal cord that can carry pain signals between the brain and the rest of the body. This can cause chronic pain. The main aim of the procedure is to relieve pain but it can also reduce swelling associated with the neuroma. Evidence on the safety and efficacy of ...