Difference between revisions of "Pilgramm2"
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| − | <span style=" | + | <span style="line-height:normal">'''<span style="font-size:18.0pt"><span style="font-family:" times="" new="" roman",serif"="">The efficacy of hyperbaric oxygen in the treatment of acute acoustic trauma is unclear.</span></span>'''</span> |
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| − | + | <span style="line-height:normal">'''<span style="font-size:14.0pt"><span style="font-family:" times="" new="" roman",serif"="">Clinical Bottom Line:</span></span>'''</span> | |
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| − | + | #<span style="line-height:normal"><span style="font-size:14.0pt"><span style="font-family:" times="" new="" roman",serif"="">Poorly reported trial cannot be evaluated</span></span></span> | |
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| − | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Citation: 1.</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Pilgramm M. Clinical and animal experiment studies to optimise the therapy for acute acoustic trauma. Scandinavian Audiology (Suppl) 1991; 34:103-122.</span></span></span> | |
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| − | <span style=" | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Clinical Scenario:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">A patient with acute hearing loss following acoustic trauma.</span></span></span> |
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| − | <span style="display: block; text-align: center;"><span style="font-size: 29.9px;">[[Audiovestibular | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Three-part Question:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">For patients with acute acoustic trauma, does the addition of hyperbaric oxygen to the standard treatment regimen result in any improvement in final hearing or reduction in tinnitus?</span></span></span> |
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Search Terms:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Hyperbaric oxygenation, trauma/acoustic.</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">The Study:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Double-blinded randomised controlled trial. Patients with hearing loss 40dB following acoustic trauma within 48 hours and without improvement greater than 20dB after 24 hours in the absence of therapy.</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Control group (N = ?):</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Unknown.</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Experimental group (N =?):</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Unknown</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">The Evidence:</span></span>'''</span> | ||
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| + | <span style="line-height:normal"><span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">None given!</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Comments:</span></span>'''</span> | ||
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| + | <span style="line-height:normal"><span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">1. Results and methodology not clearly reported.</span></span></span> | ||
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| + | <span style="line-height:normal"><span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">2. Text suggests that hyperbaric oxygen may be of some additional benefit, but supporting results not given.</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Appraised by:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Mike Bennett, Dept of Diving and Hyperbaric Medicine, Prince of Wales Hospital Sydney; Wednesday, 27 January, 1999</span></span></span> | ||
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Expiry date</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">:'''June 2022</span></span></span> | ||
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| + | <span style="display: block; text-align: center;">[[File:Sumhorsa.gif|center|Sumhorsa.gif]]</span> | ||
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| + | <span style="display: block; text-align: center;"><span style="font-size: 29.9px;">[[Audiovestibular|BACK]]</span></span> | ||
Latest revision as of 01:48, 28 September 2021
The efficacy of hyperbaric oxygen in the treatment of acute acoustic trauma is unclear.
Clinical Bottom Line:
- Poorly reported trial cannot be evaluated
Citation: 1.Pilgramm M. Clinical and animal experiment studies to optimise the therapy for acute acoustic trauma. Scandinavian Audiology (Suppl) 1991; 34:103-122.
Clinical Scenario:A patient with acute hearing loss following acoustic trauma.
Three-part Question:For patients with acute acoustic trauma, does the addition of hyperbaric oxygen to the standard treatment regimen result in any improvement in final hearing or reduction in tinnitus?
Search Terms:Hyperbaric oxygenation, trauma/acoustic.
The Study:Double-blinded randomised controlled trial. Patients with hearing loss 40dB following acoustic trauma within 48 hours and without improvement greater than 20dB after 24 hours in the absence of therapy.
Control group (N = ?):Unknown.
Experimental group (N =?):Unknown
The Evidence:
None given!
Comments:
1. Results and methodology not clearly reported.
2. Text suggests that hyperbaric oxygen may be of some additional benefit, but supporting results not given.
Appraised by:Mike Bennett, Dept of Diving and Hyperbaric Medicine, Prince of Wales Hospital Sydney; Wednesday, 27 January, 1999
Expiry date:June 2022
