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

Essencial: Salud

Both angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists act on the renin-angiotensin-aldosterone system and are used in the routine treatment of heart failure. Angiotensin-converting enzyme inhibitors are the first-line treatment and angiotensin II receptor antagonists are reserved for patients who do not tolerate angiotensin-converting enzyme inhibitors or in whom their administration is contraindicated. Since their mechanism of action is complementary, they ...

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

Generalitat de Catalunya

Opioids, especially strong ones, and benzodiazepines are drugs that cause depression in the central nervous system, can cause a reduction in respiratory rate and contribute to oxygen desaturation. This combination may enhance complications and put the patient at greater risk of respiratory depression and potentially fatal overdose. It can also affect the ability to drive a vehicle or other machinery safely, and is related to problems associated with the risk of dependency. The concomitant use ...

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

Generalitat de Catalunya

Fever is a physiological defense mechanism against infections. That is why most experts support the use of antipyretics with the aim of relieving discomfort in boys and girls, if there is any, instead of waiting for the temperature to return to normal levels. Treatment of fever in the pediatric population with an alternating regimen of antipyretics, usually ibuprofen and paracetamol. Most clinical practice guidelines do not recommend the alternating regimen of antipyretics in the management of ...

NICE

NICE

Chronic, severe, long-term refractory low back pain can present in several ways, including as neuropathic pain (associated with damage to the nervous system) or nociceptive pain (associated with physical damage to joints, muscles, and ligaments). In some people, it is associated with dysfunction of the lumbar multifidus (large muscles that support the lower back) and inhibition of arthrogenic muscles. This treatment is not intended for neuropathic pain. It involves implanting a pulse generator ...

NICE

NICE

Vitreous floaters are microscopic clumps of collagen fibres in the vitreous that cast shadows on the retina, appearing as floaters. The most common cause of vitreous floaters is posterior vitreous detachment, when the posterior hyaloid face separates from the retina. Vitreous floaters do not usually threaten vision and can be managed conservatively. When they do affect vision, treatment options include vitrectomy and vitreolysis with YAG laser. This article propose a procedure that aims to ...