Treatment of sudden sensorineural hearing loss with systemic steroids and valacyclovir

If you know someone who has remained comatose after surviving SCA, he may be a candidate for therapeutic hypothermia. Check with the physicians who are caring for the patient to see if the hospital is currently using this therapy and if your family member meets the criteria to be cooled. The therapy is not without risk and requires skilled implementation of techniques for managing the critically ill patients whose body temperatures have been lowered. Members of the critical care team must learn these techniques before using them clinically. Techniques can include ice packs, cooling mattresses, cooling blankets, catheters inserted into large blood vessels, and ice-cold IV saline.

Data Synthesis   A total of 21 RCTs were identified regarding various treatments, including systemic and intratympanic steroids; antiviral and hemodilution agents; mineral, vitamin, and herbal preparations; batroxobin; carbogen; and hyperbaric oxygen. All studies used audiometric outcome measures. Only 2 studies used identical criteria to define SSHL. The method of randomization was described in 2 studies. Validity scores ranged from 2 to 8 (of 9). Positive results were reported favoring systemic steroids, intratympanic steroids, batroxobin, magnesium, vitamin E, and hyperbaric oxygen, although there were serious limitations in each study with a positive finding. There was no difference in audiometric outcomes reported across all studies of antiviral and hemodilution agents and no difference in one study of systemic steroids vs placebo.

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Sources:
Team Research “28 Causes of Shoulder Pain When Moving: Diagnosis and Relief”, Buoyhealth web site, September 7, 2017, https:///current/28-reasons-for-shoulder-pain/
KarynRepinski “12 Reasons You Have Shoulder Pain–and What to Do About It”, Health web site, September 1, 2017, http:///pain/shoulder-pain-causes#06-labral-tears-shoulder-pain
“Shoulder Pain Signs & Symptoms, Diagnosis”, Health Communities web site, last accessed January 15, 2018 , http:///shoulder-pain/symptoms-
“18 Helpul Home Remedies for Shoulder Pain”, Home remedy shacks web site, April 5, 2016  https:///18-helpful-home-remedies-shoulder-pain/

Treatment of sudden sensorineural hearing loss with systemic steroids and valacyclovir

treatment of sudden sensorineural hearing loss with systemic steroids and valacyclovir

Sources:
Team Research “28 Causes of Shoulder Pain When Moving: Diagnosis and Relief”, Buoyhealth web site, September 7, 2017, https:///current/28-reasons-for-shoulder-pain/
KarynRepinski “12 Reasons You Have Shoulder Pain–and What to Do About It”, Health web site, September 1, 2017, http:///pain/shoulder-pain-causes#06-labral-tears-shoulder-pain
“Shoulder Pain Signs & Symptoms, Diagnosis”, Health Communities web site, last accessed January 15, 2018 , http:///shoulder-pain/symptoms-
“18 Helpul Home Remedies for Shoulder Pain”, Home remedy shacks web site, April 5, 2016  https:///18-helpful-home-remedies-shoulder-pain/

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