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Results: 11

Different regimens of intravenous sedatives or hypnotics for electroconvulsive therapy (ECT) in adult patients with depression

Depression is a common mental disorder. It can present as loss of interest or pleasure, sadness, disturbed sleep or appetite, feelings of guilt or low self worth. In 2008, the World Health Organization (WHO) estimated that depression was the second leading cause of disability‐adjusted life‐years among all men and women between 15 and 44 years of age. The treatment of choice for severe and recurrent depression is electroconvulsive therapy (ECT). ECT involves the application of an electrical current to the patient's head. The aim is to induce a controlled convulsion. Patients usually undergo several sessions of ECT.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Fact sheet: Managing pain during childbirth

Knowing your baby is coming soon can be very exciting. But your feelings about labor might be mixed, especially if you have not given birth before. Is the pain as bad as many women say it is, or can you just breathe your way through it? Pregnant women usually want to know as much as possible about what labor will be like and what will help them cope.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: October 16, 2013

Drugs for treating people with sleepiness during shift work and sleep problems after shift work

People who work shifts often report sleepiness at work and problems with sleep between work shifts. This is called shift work sleep disorder when the difficulties with sleep after the night shift and sleepiness during the night shift are persistent. We evaluated the effect of drugs, such as melatonin, to improve shift workers' sleep quality after night shift work. We also examined the effect of drugs, such as caffeine, to help shift workers stay awake. We also wanted to evaluate cost‐effectiveness but there were no studies.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Drug therapy for anxiety in palliative care

Anxiety is a common symptom in patients near the end of life. As with other areas of palliative care, the majority of available literature pertaining to drug therapy for anxiety is based on the reporting of anecdotes. A search of the international literature for randomised clinical trials in the area of drug therapy for symptoms of anxiety in palliative care yielded no results. As a consequence, it is not possible to assess the effectiveness of treatment options. It is hoped that this review will motivate future research in this area.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Bright light therapy for sleep problems in adults aged 60+

Sleep problems become more common with age, affect quality of life for individuals and their families, and can increase healthcare costs. Older people are often prescribed a range of drugs for their health problems (including with sleep) many of which have side effects. This review considered the effectiveness of bright light treatment (also known as phototherapy). This aims to improve sleep by restoring the disturbed cycle of circadian rhythms found in some people with sleep problems by the administration of very high doses of fluorescent light for periods of around two hours a day. Reviewers found no trials on which to base conclusions for the effectiveness of this treatment.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

The use of Nitrous Oxide gas during Colonoscopy procedures

Colonoscopy is now the main investigation for large bowel illnesses, including cancer, but it can be an uncomfortable or painful procedure. To help reduce the pain/discomfort, endoscopists use narcotics or hypnotics with or without other analgesics, but this, in turn, comes with risks on the heart as well as on breathing. This review found that Nitrous Oxide gas works as good sedation, it leads to faster recover after the procedure and a short stay at the endoscopy unit, with little risk to breathing or the heart.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2011

Cognitive behavioural therapy for older adults (aged 60+) with sleep problems

Sleep problems become more common with age, affect quality of life for individuals and their families, and can increase healthcare costs. Older people are often prescribed a range of drugs for their health problems (including with sleep) many of which have side effects. This review considered the effectiveness of cognitive and behavioural treatments (CBT). These aim to improve sleep by changing poor sleep habits and by challenging negative thoughts, attitudes and beliefs about sleep. Reviewers report that there is only limited evidence available, and what data there is suggests a mild effect of CBT.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

There is currently no evidence to determine the best way to treat Mandrax dependence in adults.

Dependence and abuse of methaqualone, a type of sedative‐hypnotic, is a major public health problem in parts of Africa and India. Treatment is highly variable and takes place in both in‐patient and out‐patient settings. Despite an extensive search of electronic databases, the internet, relevant conferences and contact with experts in the field, this review identified no randomised controlled trials of the effectiveness of treatment for Mandrax dependence and/or abuse. Currently no evidence exists for using one type of treatment over another.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2008

Physical exercise as a treatment for sleep problems in older people

Sleep problems become more common with age, affect quality of life for individuals and their families, and can increase healthcare costs. Older people are often prescribed a range of drugs for their health problems (including with sleep) many of which have side effects. This review considered the effectiveness of a programme of physical exercise involving brisk walking and moderate resistance training tailored for the needs of the older adult. These reviewers report that evidence from one small trial is encouraging, and further research is needed.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2009

Monitoring the bispectral index (BIS) to improve anaesthetic delivery and patient recovery from anaesthesia

The results from this updated review indicate that BIS can be useful in guiding the anaesthetic dose to avoid the risk of intraoperative awareness in surgical patients at high risk for awareness. Furthermore, anaesthesia guided by BIS improves anaesthetic delivery and recovery from anaesthesia.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Medicines for sleep problems in Alzheimer's disease

People with dementia caused by Alzheimer's disease (AD) frequently suffer from sleep disturbances. These can include a reduction in the time spent asleep at night, frequent wakening after falling asleep, wandering at night, waking early, and sleeping excessively during the daytime.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Medical Encyclopedia

  • Hypnotics
    Hypnotics are medications that cause sleep or partial loss of consciousness.
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Systematic Reviews in PubMed

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