Daily nursing practice updates, organized by unit.

Key takeaways

• The acute pain-interference estimate was based on seven trials and favored selective COX-2 inhibitors (mean difference -1.1, 95% CI -1.4 to -0.8).
• Chronic pain incidence was lower in five trials, but certainty was low; chronic pain intensity was not significantly different in the single trial reporting it.
• Quality of recovery improved slightly with low-certainty evidence, and the review found no differences in the other reported adverse events.

Nursing implications

• Assess both pain intensity and pain-related function after surgery, and monitor medication response and contraindications according to the ordered multimodal analgesia plan and local protocol.

Limitations & cautions

• Abstract-only summary. Chronic pain, quality-of-recovery, and adverse-event findings were supported by low- or very-low-certainty evidence, and the abstract does not describe results by specific drug, dose, or operation.
• AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

• Five randomized, placebo-controlled trials with a total of 239 neonates were included.
• The pooled mortality estimate favored hydrocortisone, but the confidence interval approached no difference.
• The abstract addresses mortality only and does not provide pooled adverse-event or longer-term neurodevelopmental outcomes.

Nursing implications

• When hydrocortisone is ordered for refractory neonatal hypotension, continue close hemodynamic and medication monitoring and follow the NICU's dosing, glucose, electrolyte, and escalation protocols.

Limitations & cautions

• Abstract-only summary. Only five trials and 239 neonates were pooled; the abstract does not report gestational-age subgroups, dosing differences, adverse events, or neurodevelopmental outcomes.
• AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

• The pooled evidence favored MDMA-assisted therapy for core PTSD symptoms and several associated outcomes.
• No benefit was found for sleep quality.
• All trials shared a common sponsor, and psychedelic effects make participant and clinician blinding difficult.

Nursing implications

• Use the findings for informed discussion and monitoring awareness, not independent treatment advice; follow current law, approved indications, specialist oversight, and facility policy.

Limitations & cautions

• Abstract-only summary. The review included seven trials, some with small samples, and was limited by blinding challenges, nonstandardized psychotherapies, and a shared sponsor; the abstract does not report pooled effect sizes or adverse-event estimates.
• AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

• The comparison included 162 pre-intervention and 288 post-intervention cardiac-arrest events.
• Time to return of spontaneous circulation was shorter after implementation, but overall return-of-spontaneous-circulation rates did not differ significantly.
• Timely adrenaline was associated with faster return of spontaneous circulation in combined data but did not improve survival.

Nursing implications

• Know who is authorized to give first-dose adrenaline during a code, rehearse the local non-shockable-arrest workflow, and prioritize rapid team activation and reversible-cause assessment within facility protocol.

Limitations & cautions

• Abstract-only summary. This was a nonrandomized pre-post study spanning different time periods; other changes in staffing or resuscitation practice could have influenced results, and survival did not improve.
• AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

• Seven randomized controlled trials were included.
• Benefits for recurrence and reoperation were consistent across the review's timing, age, and follow-up subgroup analyses.
• Hematoma resorption was not significantly different, and longer follow-up is needed to define durability and optimal use.

Nursing implications

• For patients receiving embolization plus standard care, continue ordered neurologic checks and post-procedure monitoring and escalate changes according to local neurovascular and antithrombotic protocols.

Limitations & cautions

• Abstract-only summary. The analysis pooled seven trials with varying treatment timing and follow-up; no mortality or functional-outcome benefit was detected, and longer-term outcomes remain uncertain.
• AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

• In the 149 hospitalizations with a demonstrable creatinine change, 33 cases (22.1%) were undocumented.
• Higher maximal creatinine was associated with lower adjusted odds of underdocumentation.
• The study did not test whether a detection or documentation intervention improves care or outcomes.

Nursing implications

• Trend ordered renal-function results and communicate clinically important changes through the care team according to local escalation and documentation workflows.

Limitations & cautions

• Abstract-only summary. This was a retrospective, single-center study of 161 hospitalizations; urine-output criteria and reliable preadmission creatinine values were unavailable, and the reference creatinine method may affect case classification.
• AI-summarized from the linked source. Review the original article before applying to practice.