Pub Date : 2024-10-23DOI: 10.53738/REVMED.2024.20.892.1919
Jérémy Arm, Matteo Coen, Sophie Pautex, Mathieu Nendaz
The use of opioids has increased over the past 20 years. Among their side effects, constipation is probably the most common. Managing opioid-induced constipation primarily involves laxatives from the onset and addressing any additional causes of constipation. The laxatives of choice for this condition are, firstly, macrogol, followed by stimulant laxatives. If these first-line measures fail, peripheral mu-opioid receptor agonists (PAMORA) can be considered ; however, their coverage by Swiss health insurances remains limited to date.
{"title":"[Management of opioid-induced constipation : the old and the new].","authors":"Jérémy Arm, Matteo Coen, Sophie Pautex, Mathieu Nendaz","doi":"10.53738/REVMED.2024.20.892.1919","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.892.1919","url":null,"abstract":"<p><p>The use of opioids has increased over the past 20 years. Among their side effects, constipation is probably the most common. Managing opioid-induced constipation primarily involves laxatives from the onset and addressing any additional causes of constipation. The laxatives of choice for this condition are, firstly, macrogol, followed by stimulant laxatives. If these first-line measures fail, peripheral mu-opioid receptor agonists (PAMORA) can be considered ; however, their coverage by Swiss health insurances remains limited to date.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-23DOI: 10.53738/REVMED.2024.20.892.1961
Elise Ramel, Thomas Schmutz, Alexandre Deglise, Vincent Ribordy, Youcef Guechi
Patients in emergency situations or life distress most often need a intravenous line (IV) to give them the medications they need. The IV route is the preferred route to treat most of the patients in emergency situations out of hospital or in the emergency room but can be very tricky to obtain. Various alternatives have been developed, such as the intraosseous route, particularly useful in cases of venous collapse (shock, cardiorespiratory arrest), the intramuscular route (anaphylaxis, sedation) or the intranasal route (status epilepticus, analgesia). This article reviews the indications, contraindications and pharmacology of these different routes.
{"title":"[Alternatives to the intravenous route in emergency situations].","authors":"Elise Ramel, Thomas Schmutz, Alexandre Deglise, Vincent Ribordy, Youcef Guechi","doi":"10.53738/REVMED.2024.20.892.1961","DOIUrl":"10.53738/REVMED.2024.20.892.1961","url":null,"abstract":"<p><p>Patients in emergency situations or life distress most often need a intravenous line (IV) to give them the medications they need. The IV route is the preferred route to treat most of the patients in emergency situations out of hospital or in the emergency room but can be very tricky to obtain. Various alternatives have been developed, such as the intraosseous route, particularly useful in cases of venous collapse (shock, cardiorespiratory arrest), the intramuscular route (anaphylaxis, sedation) or the intranasal route (status epilepticus, analgesia). This article reviews the indications, contraindications and pharmacology of these different routes.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.53738/REVMED.2024.20.891.1907
Kevin Villat
{"title":"Une nouvelle arme contre la maladie rénale chronique chez les diabétiques de type 2 ?","authors":"Kevin Villat","doi":"10.53738/REVMED.2024.20.891.1907","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.891.1907","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.53738/REVMED.2024.20.891.1898
Mathieu Nendaz
{"title":"Comment former les médecins de demain ?","authors":"Mathieu Nendaz","doi":"10.53738/REVMED.2024.20.891.1898","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.891.1898","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.53738/REVMED.2024.20.891.1899
Idris Guessous
{"title":"L’identité professionnelle pour réenchanter la médecine.","authors":"Idris Guessous","doi":"10.53738/REVMED.2024.20.891.1899","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.891.1899","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.53738/REVMED.2024.20.891.1880
Chiara Santarelli, Pauline De Vries, Patrice Mathevet, Hélène Legardeur
The increasing number of women of childbearing age with gynecological uterine scars presents a significant clinical challenge. -Planning the route of birth for a subsequent pregnancy necessitates -careful consideration and should be the subject of an informed -discussion. Unfortunately, the heterogeneity of data in the literature with regards to gynecological uterine scars makes this choice -debatable. Although the use of less invasive surgical procedures in this context is on the rise, there is currently a lack of robust data on their obstetric repercussions. This article -explores risk factors for uterine rupture in the view of gynecological uterine scars and -provides pragmatic recommendations for clinicians.
{"title":"[Trial of labor and gynecological uterine scars : a narrative review].","authors":"Chiara Santarelli, Pauline De Vries, Patrice Mathevet, Hélène Legardeur","doi":"10.53738/REVMED.2024.20.891.1880","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.891.1880","url":null,"abstract":"<p><p>The increasing number of women of childbearing age with gynecological uterine scars presents a significant clinical challenge. -Planning the route of birth for a subsequent pregnancy necessitates -careful consideration and should be the subject of an informed -discussion. Unfortunately, the heterogeneity of data in the literature with regards to gynecological uterine scars makes this choice -debatable. Although the use of less invasive surgical procedures in this context is on the rise, there is currently a lack of robust data on their obstetric repercussions. This article -explores risk factors for uterine rupture in the view of gynecological uterine scars and -provides pragmatic recommendations for clinicians.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.53738/REVMED.2024.20.891.1856
Tania Metaxas, Elisabeth Garcia Vilaplana, Clarisse Peter-Berner, Jose Miguel Palacios-Jaraquemada, Albaro Jose Nieto-Calvache, Begoña Martinez De Tejada, Jean-Marie Pellegrinelli
Placenta accreta spectrum (PAS) is among the most dangerous obstetric conditions due to elevated risk of massive hemorrhage. Ultrasound is PAS's preferred screening method. This article -introduces the new topographic classification of PAS, allowing for treatment selection, whether radical or conservative. This classification enables considering the One-Step Conservative Surgery (OSCS), a technique that could potentially avoid up to 80% of cesarean -hysterectomies in cases of PAS. This article details the procedure and -eligibility criteria for the OSCS. This promising technique could significantly reduce maternal morbidity and mortality. Finally, the possibility of training in these techniques through telemedicine opens new avenues for conservative uterine treatment in the -context of PAS.
胎盘早剥谱（PAS）是最危险的产科疾病之一，因为大出血的风险很高。超声波是 PAS 的首选筛查方法。本文介绍了 PAS 的新地形分类，以便选择根治或保守治疗。通过这种分类，可以考虑一步保守手术（OSCS），这种技术有可能避免多达 80% 的 PAS 剖宫产手术。本文详细介绍了 OSCS 的手术过程和资格标准。这项前景广阔的技术可以大大降低孕产妇的发病率和死亡率。最后，通过远程医疗对这些技术进行培训的可能性为PAS情况下的子宫保守治疗开辟了新的途径。
{"title":"[Uterine conservative treatment for placenta accreta : new standard?]","authors":"Tania Metaxas, Elisabeth Garcia Vilaplana, Clarisse Peter-Berner, Jose Miguel Palacios-Jaraquemada, Albaro Jose Nieto-Calvache, Begoña Martinez De Tejada, Jean-Marie Pellegrinelli","doi":"10.53738/REVMED.2024.20.891.1856","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.891.1856","url":null,"abstract":"<p><p>Placenta accreta spectrum (PAS) is among the most dangerous obstetric conditions due to elevated risk of massive hemorrhage. Ultrasound is PAS's preferred screening method. This article -introduces the new topographic classification of PAS, allowing for treatment selection, whether radical or conservative. This classification enables considering the One-Step Conservative Surgery (OSCS), a technique that could potentially avoid up to 80% of cesarean -hysterectomies in cases of PAS. This article details the procedure and -eligibility criteria for the OSCS. This promising technique could significantly reduce maternal morbidity and mortality. Finally, the possibility of training in these techniques through telemedicine opens new avenues for conservative uterine treatment in the -context of PAS.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.53738/REVMED.2024.20.891.1905
Thomas Schmutz, Jessica Schwaller
{"title":"Bono le chien, nouvelle mascotte des urgences de Fribourg.","authors":"Thomas Schmutz, Jessica Schwaller","doi":"10.53738/REVMED.2024.20.891.1905","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.891.1905","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号