changeability , fluctuation , inconstancy , insecurity , instability , mutability , precariousness , shakiness , unsteadiness , volatility ;
We also asked participants their views on treatments they felt were ineffective /unsafe in the rehabilitation of CRPS. Some participants felt that the use of splinting could contribute to further disuse, reinforce avoidance of activity and enhance the need for protection. Passive therapies such as transcutaneous electrical nerve stimulation (TENS) and massage were sometimes described as ineffective. There were also concerns that the use of cold therapy and pain provocative or aggressive therapy could result in a flare in an individual’s symptoms. Whilst pain provocative therapies are not specifically recommended in the international guidelines, the results of recent trials evaluating pain exposure in CRPS (6, 7) have been conflicting.
Thanks Minh – already planning to come to your talk since I saw your name on the program!
I think the hyperoxia issue post arrest related to the CNS injury from arrest followed by reperfusion so I don’t think this extrapolates to PE. However I don’t think anyone necessarily needs SpO2 of 100%. In my life as an intensivist I’m very relaxed having ARDS or COPD patients with SpO2 of 88-92%.
I agree that in AMI oxygen should be titrated to need. If SpO2 is in the high 90’s I think there is a good argument for not giving supplemental oxygen. I think the UK (BTS) oxygen guidelines are in keeping with this but haven’t looked at them for a while. Look forward to meeting you!