1. CT technique for detection of pancreatic NETs Optimal technique is essential for accurate detection of pancreatic NETs. The patient should be fasted to ensure that the stomach and duodenum are emptied of their contents. The stomach is distended with water, and intravenous (IV) or intramuscular (IM) hyoscine butylbromide or another anti-peristaltic agent is administered. An initial precontras...

The management of 'death rattle' was reviewed by a task group on behalf of the Association for Palliative Medicine's Science Committee. Evidence was searched for the effectiveness of various anti-muscarinic drugs in drying oropharyngeal and bronchial secretions in dying patients. Clinical guidelines were constructed based on evidence from volunteer and clinical studies. Death rattle occurs in h...

Forty-seven patients with acute renal colic were treated with either tenoxicam 20 mg i.v. or buscopan compositum (hyoscine butylbromide 20 mg and dipyrone 2.5 g) i.v. in a double blind study. Renal colic was diagnosed with use of a general urine examination, intravenous urogram, ultrasonography or voiding of calculus. The severity of symptoms were assessed by a verbal six point scale. Results d...

Purpose: Prolong labour contributes to increased perinatal and maternal morbidity. Inhibitory impulses in the form of spasm often impair the dilatation of cervix and prolong the duration of labour. This study was undertaken to compare the effect of intramuscular Valathemate bromide [Epidosin] and Hyoscine N Butylbromide [Buscopan] rectal suppository on duration of labour and rate of cervical di...

In recent years, emphasis has been placed on colonoscopic quality, leading to reinvestigation of basic elements of colonoscopic extubation technique, such as withdrawal time, changing patient position, operator technique, and bowel preparation [1–4], that have been shown to impact polyp and adenoma detection rates. Basic technique can be improved to maximize adenoma detection with minimal addit...