Titre : Épistaxis

Épistaxis : Questions médicales fréquentes

Termes MeSH sélectionnés :

Randomized Controlled Trials as Topic
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épistaxis ?\nQuels signes indiquent une épistaxis grave ?\nL'imagerie est-elle nécessaire pour l'épistaxis ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=6#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Épistaxis", "description": "Quels sont les symptômes de l'épistaxis ?\nL'épistaxis peut-elle causer des douleurs ?\nPeut-on avoir des saignements bilatéraux ?\nY a-t-il des signes d'infection avec l'épistaxis ?\nL'épistaxis peut-elle être chronique ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=6#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Épistaxis", "description": "Comment prévenir l'épistaxis ?\nLes allergies peuvent-elles causer l'épistaxis ?\nFaut-il éviter de se moucher fort ?\nLes médicaments anticoagulants augmentent-ils le risque ?\nComment maintenir l'humidité nasale ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=6#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Épistaxis", "description": "Comment traiter une épistaxis légère ?\nQuels médicaments peuvent aider l'épistaxis ?\nQuand utiliser un cautérisateur pour l'épistaxis ?\nLes antibiotiques sont-ils nécessaires pour l'épistaxis ?\nQuelles interventions chirurgicales existent pour l'épistaxis ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=6#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Épistaxis", "description": "Quelles complications peuvent survenir avec l'épistaxis ?\nL'épistaxis peut-elle entraîner une perte de sang importante ?\nPeut-on avoir des séquelles après une épistaxis ?\nL'épistaxis peut-elle causer des infections ?\nQuels sont les risques d'une épistaxis chronique ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=6#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Épistaxis", "description": "Quels sont les facteurs de risque de l'épistaxis ?\nLe tabagisme augmente-t-il le risque d'épistaxis ?\nLes traumatismes nasaux sont-ils un facteur de risque ?\nLes infections respiratoires peuvent-elles causer l'épistaxis ?\nL'hypertension est-elle un facteur de risque ?", "url": "https://questionsmedicales.fr/mesh/D004844?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=6#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une épistaxis ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'examen physique et l'historique médical du patient." } }, { "@type": "Question", "name": "Quels tests sont nécessaires pour l'épistaxis ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins peuvent être effectués pour évaluer la coagulation sanguine." } }, { "@type": "Question", "name": "Quand consulter un spécialiste pour épistaxis ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Consultez un ORL si les saignements sont fréquents ou sévères." } }, { "@type": "Question", "name": "Quels signes indiquent une épistaxis grave ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des saignements abondants, des vertiges ou une perte de conscience nécessitent une attention immédiate." } }, { "@type": "Question", "name": "L'imagerie est-elle nécessaire pour l'épistaxis ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "L'imagerie est rarement nécessaire, sauf en cas de suspicion de lésion sous-jacente." } }, { "@type": "Question", "name": "Quels sont les symptômes de l'épistaxis ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent un saignement nasal, parfois accompagné de douleur ou de congestion." } }, { "@type": "Question", "name": "L'épistaxis peut-elle causer des douleurs ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'épistaxis peut être accompagnée de douleurs au nez ou de sensations de pression." } }, { "@type": "Question", "name": "Peut-on avoir des saignements bilatéraux ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'épistaxis peut survenir dans une ou les deux narines, selon la cause." } }, { "@type": "Question", "name": "Y a-t-il des signes d'infection avec l'épistaxis ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des signes d'infection peuvent inclure des écoulements purulents ou de la fièvre." } }, { "@type": "Question", "name": "L'épistaxis peut-elle être chronique ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines personnes peuvent souffrir d'épistaxis récurrente ou chronique." } }, { "@type": "Question", "name": "Comment prévenir l'épistaxis ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Évitez les irritants nasaux, hydratez-vous et utilisez un humidificateur d'air." } }, { "@type": "Question", "name": "Les allergies peuvent-elles causer l'épistaxis ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les allergies peuvent provoquer une inflammation et des saignements du nez." } }, { "@type": "Question", "name": "Faut-il éviter de se moucher fort ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, se moucher trop fort peut provoquer ou aggraver une épistaxis." } }, { "@type": "Question", "name": "Les médicaments anticoagulants augmentent-ils le risque ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les anticoagulants peuvent augmenter le risque d'épistaxis en affectant la coagulation." } }, { "@type": "Question", "name": "Comment maintenir l'humidité nasale ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Utilisez des sprays salins ou des gels pour garder les muqueuses nasales hydratées." } }, { "@type": "Question", "name": "Comment traiter une épistaxis légère ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Pour une épistaxis légère, il est conseillé de se pencher en avant et de pincer le nez." } }, { "@type": "Question", "name": "Quels médicaments peuvent aider l'épistaxis ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Des décongestionnants ou des sprays nasaux peuvent être utilisés pour réduire l'inflammation." } }, { "@type": "Question", "name": "Quand utiliser un cautérisateur pour l'épistaxis ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Un cautérisateur est utilisé pour sceller les vaisseaux sanguins en cas de saignements persistants." } }, { "@type": "Question", "name": "Les antibiotiques sont-ils nécessaires pour l'épistaxis ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les antibiotiques ne sont pas généralement nécessaires, sauf en cas d'infection associée." } }, { "@type": "Question", "name": "Quelles interventions chirurgicales existent pour l'épistaxis ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des interventions comme l'embolisation des vaisseaux peuvent être nécessaires pour les cas graves." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec l'épistaxis ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'anémie, l'infection ou des problèmes respiratoires graves." } }, { "@type": "Question", "name": "L'épistaxis peut-elle entraîner une perte de sang importante ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une épistaxis sévère peut entraîner une perte de sang significative et nécessiter une intervention." } }, { "@type": "Question", "name": "Peut-on avoir des séquelles après une épistaxis ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Des séquelles sont rares, mais des problèmes de coagulation peuvent persister." } }, { "@type": "Question", "name": "L'épistaxis peut-elle causer des infections ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des infections peuvent survenir si des bactéries pénètrent par les muqueuses endommagées." } }, { "@type": "Question", "name": "Quels sont les risques d'une épistaxis chronique ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "L'épistaxis chronique peut entraîner des complications comme l'anémie ou des troubles de la coagulation." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de l'épistaxis ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent la sécheresse de l'air, les allergies, et l'utilisation de médicaments anticoagulants." } }, { "@type": "Question", "name": "Le tabagisme augmente-t-il le risque d'épistaxis ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut irriter les muqueuses nasales et augmenter le risque de saignement." } }, { "@type": "Question", "name": "Les traumatismes nasaux sont-ils un facteur de risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les traumatismes au nez, comme les coups ou les chutes, augmentent le risque d'épistaxis." } }, { "@type": "Question", "name": "Les infections respiratoires peuvent-elles causer l'épistaxis ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les infections respiratoires peuvent provoquer une inflammation et des saignements du nez." } }, { "@type": "Question", "name": "L'hypertension est-elle un facteur de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'hypertension peut augmenter le risque d'épistaxis en exerçant une pression sur les vaisseaux sanguins." } } ] } ] }

Sources (10000 au total)

Specification of interventions and selection of controls in randomized controlled trials of acupuncture: a cross-sectional survey.

Specification of interventions and selection of controls are two methodological determinants for a successful acupuncture trial. However, current practice with respect to these two determinants is not... We searched PubMed for acupuncture RCTs published in core clinical journals and complementary and alternative medicine (CAM) journals from January 2010 to December 2019 (10 years) and included RCTs th... Most of the 319 eligible RCTs specified well the style of acupuncture (86.8%), traditional acupuncture point locations (96.2%), type of needle stimulation (90.3%) and needle retention time (85.6%). Ho... Over a decade of research practice, important gaps have remained in the specification of acupuncture interventions, including response sought, needle manipulation, and co-interventions. While sham acu...

Protocol for a randomized controlled trial of mindfulness-based stress reduction to improve attentional control in older adults (HealthyAgers trial).

Mindfulness meditation is a form of mind-body intervention that has increasing scientific support for its ability to reduce age-related declines in cognitive functioning, improve affective health, and... One hundred fifty older adults (ages 65-85 years) will be randomized into one of two groups: an eight-week mindfulness program or an eight-week, placebo-controlled, lifestyle education program. Behavi... This study will establish the efficacy of a group-based, low-cost mind-body intervention for the inter-related facets of attentional control and mind-wandering in older adults. Strengths of this study... Clinicaltrials.gov (# NCT03626532 ). Registered August 4, 2018....

Effect of Topical Antibiotics on Duration of Acute Infective Conjunctivitis in Children: A Randomized Clinical Trial and a Systematic Review and Meta-analysis.

Although topical antibiotics are often prescribed for treating acute infective conjunctivitis in children, their efficacy is uncertain.... To assess the efficacy of topical antibiotic therapy for acute infective conjunctivitis.... A randomized clinical trial was conducted in primary health care in Oulu, Finland, from October 15, 2014, to February 7, 2020. Children aged 6 months to 7 years with acute infective conjunctivitis wer... Participants in the present randomized clinical trial were randomized to moxifloxacin eye drops, placebo eye drops, or no intervention.... The primary outcome in the present randomized clinical trial was time to clinical cure (in days); in the meta-analysis, the primary outcome was the proportion of participants with conjunctival symptom... The randomized clinical trial included 88 participants (46 [52%] girls), of whom 30 were randomized to moxifloxacin eye drops (mean [SD] age, 2.8 [1.6] years), 27 to placebo eye drops (mean [SD], age ... In this randomized clinical trial and systematic review and meta-analysis, topical antibiotics were associated with significantly shorter durations of conjunctival symptoms in children with acute infe... ClinicalTrialsRegister.eu Identifier: 2013-005623-16....

Topical Anesthesia in Cutaneous Head and Neck Surgery: A Randomized Controlled Trial.

Cutaneous head and neck surgery can safely and effectively be performed using local anesthetic (LA). However, optimizing pain management during LA administration is paramount for patient comfort and p... Randomized controlled trial.... University-affiliated tertiary head and neck oncology center.... Sample size calculation was performed followed by computer randomization into the following groups: EMLA, EMLA placebo (aqueous cream), EC, and a control group (no topical agent). Demographics, pain, ... 121 cutaneous lesions with a median patient age of 76 were analyzed. There were no statistically significant differences in pain scores (median [IQR]) between patients receiving EMLA (4 [3.75]), EMLA ... EMLA and EC did not mitigate LA-associated pain in patients undergoing cutaneous head and neck surgery and as such practitioners should reconsider their use of these in this regard. Patients' operativ... Ib....

Protocol update and baseline characteristics for the TRIal to slow the Progression of Diabetes (TRIPOD) randomized controlled trial.

Type 2 diabetes (T2D), a major risk factor for cardiovascular disease and other adverse health conditions, is on the rise in Singapore. TRIPOD is a randomized controlled trial aimed to determine wheth... The protocol was published in Trials, accessible via https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-019-3749-x... The average age of participants was 55.0 (SD9.7) years old and 64.2% were male. The majority of participants (76.8%) were Chinese, 4.9% Malay and 18.3% Indian and of other ethnicities. 67.0% had a mon... The final participant completed month 12 follow-up data collection on 8 June 2023. All pre-planned analyses will be conducted and final results reported.... ClinicalTrials.gov NCT03800680 . Registered on 11 January 2019....

The EMBER trial for weight management engagement: A hybrid type 1 randomized controlled trial protocol.

Almost 40% of Veterans Health Administration (VHA) users have obesity. VHA's national weight management program is associated with weight loss and improved health. However, while 94% of eligible VHA u... The EMBER Trial is a randomized hybrid type 1 effectiveness implementation trial. Participants are Palo Alto or Houston VA Health Care System users with obesity who have not used a VHA weight manageme... EMBER is the first self-directed, Motivational Interviewing-based intervention designed to increase weight management program engagement. The study takes a low-touch, population health approach that c...

The Skin Antiseptic agents at Vaginal dElivery (SAVE) trial: study protocol for a randomized controlled trial.

Cleansing of the vulva and perineum is recommended during preparation for vaginal delivery, and special attention is paid to cleansing before episiotomy because episiotomy is known to increase the ris... In this multicenter randomized controlled trial, term pregnant women who plan to deliver vaginally after episiotomy will be enrolled. The participants will be randomly assigned to use antiseptic agent... This study will be the first randomized controlled trial aiming to determine the optimal antiseptic agent for the prevention of perineal wound infections after vaginal delivery.... ClinicalTrials.gov NCT05122169. First submitted date on 8 November 2021. First posted date on 16 November 2021....

The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial.

Low-back pain is one of the most common health conditions worldwide. It is defined as pain below the costal margin and above the inferior gluteal folds. Current guidelines recommend management of chro... This is a prospectively registered, open, two-arm randomised controlled trial comparing the group-based exercise and waiting list in pain intensity (11-item Pain Numerical Rating Scale) and disability... Our hypothesis is that group-based exercise will be better than waiting list in reducing pain intensity and disability in older people with chronic non-specific low back pain.... The practice of individualized exercise has been studied for the management of chronic non-specific low back pain in older people. However, the group exercise, even showing high quality evidence for t... The study was prospectively registered at www.ensaiosclinicos.gov.br (RBR-9j5pqs). Date-11/18/2020....

The Diabetes teleMonitoring of patients in insulin Therapy (DiaMonT) trial: study protocol for a randomized controlled trial.

The effect of telemedicine solutions in diabetes remains inconclusive. However, telemedicine studies have shown a positive trend in regards to glycemic control. The telemedicine interventions that fac... The trial is an open-label randomized controlled trial with a trial period of 3 months conducted in two sites in Denmark. Patients with T2D on insulin therapy will be randomized (1:1) to a telemonitor... ClinicalTrials.gov NCT04981808. Registered on 8 June 2021....

Pros and Cons of Randomized Controlled Trials and Benchmarking Controlled Trials in Rehabilitation: An Academic Debate within the European Academy of Rehabilitation Medicine.

The European Academy of Rehabilitation Medicine (EARM) held a debate in Hannover, Germany, on 1st of September 2016 on the pros and cons of randomized controlled trials (RCTs) and observational effect...