Haemophilia, bleeding and bubbles

Inspired by Oliveira et al 2020,[1] and Ma et al 2020.[2] Photo by Jesse van Vliet on Unsplash OA – osteoarthritisWFH – World Federation of Hemophilia (that’s how they spell it)TENS – transcutaneous electrical nerve stimulationASD – atrial septal defectkey to acronyms This blog follows on in a way from our consideration of OA last … Continue reading Haemophilia, bleeding and bubbles

Abdominal TrPs

Inspired by Mitidieri et al 2020,[1] Niraj et al 2020,[2], Niraj et al 2020,[3] Sangondimath et al 2020,[4] Hasuo et al 2020,[5] Jin et al 2020.[6] Photo by Dani Alejandro on Pexels.com TrP – myofascial trigger pointRCT – randomised controlled trialTPI – trigger point injectionAPB – abdominal plane blockMPS – myofascial pain syndromeSR – systematic … Continue reading Abdominal TrPs

ST36 vs ST25 EA in sepsis

Inspired by Liu et al 2020.[1] Photo by Markus Spiske on Pexels.com ST36 – an acupuncture point location in upper tibialis anterior (L4/L5 myotome)ST25 – an acupuncture point location in rectus abdominis (T10 myotome)EA – ElectroacupunctureLPS – lipopolysaccharide (basically this is chopped up E coli cell walls)LD – lethal doseLD80 – dose at which 80% … Continue reading ST36 vs ST25 EA in sepsis

Atraumatic glenohumeral dislocation, IBS and other stories

Stimulated by Qin et al 2020,[1] and Pei et al 2020.[2] Image modified from Figure 1 of Qin et al 2020.[1] The first paper I am highlighting this week is an adverse event report attributed to acupuncture. It is quite unusual for two reasons. First, as the title states, the case presented with a shoulder … Continue reading Atraumatic glenohumeral dislocation, IBS and other stories

Risk of mortality 2020

Stimulated by Lin et al 2020,[1] Park et al 2020,[2] and Khan et al 2019.[3] Shifen Waterfalls, Shifen, Taiwan. Image by Vernon Raineil Cenzon on Unsplash, modified by MC in Lightroom. What is the risk of mortality associated with acupuncture? Well, it depends on the context of course, and I am using this title to draw together a … Continue reading Risk of mortality 2020

Retroperitoneal abscess with pylephlebitis

Stimulated by Lee et al 2019.[1] Photo by Anton Nikolov on Unsplash.My favourite place to get images is Unsplash. It doesn’t have anything on the retroperitoneum or abscesses, so I went with loin, and then kidney, and found this lovely image of a kidney shaped lake. The title may sound to you like another adverse … Continue reading Retroperitoneal abscess with pylephlebitis

Safety of AT in pregnancy

Stimulated by Moon et al 2019.[1] Photo by Suhyeon Choi on Unsplash. I found this image when searching for pregnancy and Korea on Unsplash. I suspect that these women are not actually pregnant, but I strongly suspect that they are Korean, since the photographer is from South Korea herself. This blog is about a retrospective … Continue reading Safety of AT in pregnancy

Post-acupuncture pneumothorax incidence

Stimulated by Lin et al 2019.[1] Photo by Robina on Unsplash. Not more adverse event reports I hear you cry! No, this paper is very different, and again unexpected, despite actually being rather similar to the previous one I highlighted (sorry to be cryptic). It was just last week that I was musing at the … Continue reading Post-acupuncture pneumothorax incidence

Laparoscopic needle fragment removal 2019

Stimulated by Liu et al 2019.[1] Photo by Idella on Unsplash.This image is chosen to illustrate the phrase 'like trying to find a needle in a haystack', and it reminds me of the difficulties surgeons used to have in finding embedded foreign bodies. This is a noteworthy case because it is the first report I … Continue reading Laparoscopic needle fragment removal 2019