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ENT anesthesia

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https://www.readbyqxmd.com/read/27901329/comparing-incidence-of-emergence-delirium-between-sevoflurane-and-desflurane-in-children-following-routine-otolaryngology-procedures
#1
Jeremy N Driscoll, Brian M Bender, Carlos A Archilla, Carol M Klim, J Hossain, George Mychaskiw, Julie L Wei
BACKGROUND: Emergence delirium (ED) is a state of aggressive agitation that can occur temporarily in the process of emerging from anesthesia in children exposed to volatile or intravenous anesthetics. Emergence delirium is typically assessed using the published and validated pediatric emergence delirium (PAED) scale. Due to some variation in properties between sevoflurane and desflurane for maintenance of anesthesia after standard sevoflurane induction, we designed a prospective study to examine potential differences in emergence behavior and incidence of ED in children undergoing elective ear-nose-throat (ENT) surgery...
November 30, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27833963/anterior-commissure-laryngeal-neoplasm-endoscopic-management
#2
Nicolae Constantin Balica, Mărioara Poenaru, Eugen HoraŢiu Ştefănescu, Eugen Radu Boia, Caius Ion Doroş, Flavia Baderca, Octavian Mazilu
The CO2 laser surgery represents a treatment method of laryngeal bicordal and anterior commissure glottic cancer T1b, T2, N0. In Department of ENT, Timisoara, Romania, during 1.01.2001-31.12.2011 were analyzed 781 files from patients with laryngeal neoplasm. One hundred twenty-seven patients presented the tumor that involved both vocal cords and anterior commissure, stages T1b, T2 and T3. Therapeutic options included CO2 laser microsurgical excision for 55 (43.30%) patients, frontolateral hemilaryngectomy for 16 (12...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27789155/guidelines-of-the-french-society-of-otorhinolaryngology-sforl-first-line-treatment-of-epistaxis-in-adults
#3
E Bequignon, B Vérillaud, L Robard, J Michel, V Prulière Escabasse, L Crampette, O Malard
OBJECTIVES: The authors present the guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (SFORL) on first-line treatment of epistaxis in adults. METHODS: A multidisciplinary work-group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members' individual experience. They were then read over by an editorial group independent of the work-group. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence...
October 24, 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/27726001/-perioperative-adverse-respiratory-events-in-overweight-and-obese-children
#4
J Ulrici, G Hempel, M Sasse, J Vollrath, C Höhne
BACKGROUND: Overweight and obesity are increasing problems in pediatric anesthesia. This observational study was designed to examine how airway-related complications occur in overweight children and adolescents during general anesthesia and if this is a relevant problem in Germany. METHODS: From October 2008 until August 2009, at the university clinic in Leipzig, 504 in- and outpatients, aged 2-18 years, ASA I-III, undergoing elective procedures (ENT and pediatric surgery), were observed...
October 10, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27453092/how-to-perform-abr-in-young-children
#5
I Rouillon, M Parodi, F Denoyelle, N Loundon
The diagnosis of hearing loss, especially in the context of newborn hearing screening, is mostly based on auditory brainstem response (ABR). According to the official CCAM nomenclature, ABR consists of recording early auditory evoked potentials to detect thresholds, study conduction times and measure amplitudes (corresponding to codes CDQP006 when performed without general anesthesia, and CDQP014 when performed with general anesthesia). ABR must be rigorously performed and interpreted, always in combination with a complete ENT examination and behavioral audiometry as soon as possible...
December 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/27413398/rigid-bronchoscopy-in-airway-foreign-bodies-value-of-the-clinical-and-radiological-signs
#6
Kunjan Acharya
INTRODUCTION: Foreign body in airway is a common emergency in ENT practice. As we know, Rigid Bronchoscopy is the method of choice for removing it, although at times it leads to specialists performing unnecessary bronchoscopy, exposing patients to hazards of general anesthesia. OBJECTIVE: The objective of my study is to calculate sensitivity, specificity, positive predictive value, odds ratio from the clinical and radiological signs, comparing with the gold standard, the rigid bronchoscope procedure...
July 2016: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/27373096/-clinical-analysis-of-249-cases-of-children-with-foreign-bodies-in-the-nasal-cavity-and-paranasal-sinus
#7
Ying Wang, Hongxia Su, Yuying Wu, Yulin Zhao
OBJECTIVE: Insertion of a foreign body in the nasal cavity is a very common incident in children. It is easily diagnosed, but the type of foreign body varies and the extraction can sometimes be difficult with risk of complications. The present study reported nasal foreign bodies diagnosed in emergency in our ENT department, with an update on the state of knowledge. METHOD: A prospective study between Feb 2013 to Sept 2015 included patients admitted to the ENT emergency unit for nasal foreign body...
February 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27247224/predictors-of-unanticipated-admission-following-ambulatory-surgery-in-the-pediatric-population-a-retrospective-case-control-study
#8
Amanda Whippey, Gregory Kostandoff, Heung K Ma, Ji Cheng, Lehana Thabane, James Paul
BACKGROUND: Ambulatory surgery plays an important role in pediatric anesthesia. However, it is difficult to predict which patients will experience complications. Age >80, ASA class 3 or 4, duration of surgery >3 h, and BMI 30-35 are independent predictors of unanticipated admission in adults. In this study, we retrospectively evaluate risk factors for unanticipated admission, following ambulatory surgery in children. METHODS: All ambulatory patients requiring unanticipated admission between 2005 and 2013 were compared to a random sample of patients not requiring admission in this case-control study...
August 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27066419/caldwell-luc-surgery-revisited
#9
R K Datta, B Viswanatha, M Shree Harsha
Caldwell Luc surgery (CWS) is almost 120 years old now and it still enjoys an important place in ENT Surgeons armamentarium. The logic behind this surgery is to replace the diseased and scarred mucosa from maxillary sinus with new mucosa. In the initial period of this long journey the surgery gained many other important indications which also includes approach to surrounding structures which makes us to think if it's really a radical surgery as it is used just an approach to other structure. This was a retrospective study of CWS done during period of 2002-2014 in Sri Venkateshwara ENT Institute and Bowring & Lady Harding Hospital both of these attached to Bangalore Medical College & Research Institute...
March 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/26890716/-outpatient-surgical-practices-in-otorhinolaryngology
#10
COMPARATIVE STUDY
Gökhan Kurtoğlu, Taner Kemal Erdağ
OBJECTIVES: In this study, we report outpatient surgical procedures in an ear nose and throat (ENT) clinic of a university hospital for the first time in Turkey. MATERIAL AND METHODS: All patients who were operated between January 2012 and December 2013 by our ENT surgeons either in central operating room or in outpatient surgery unit were retrospectively analyzed. Age of the patients, type of operation, type of anesthesia, and the time of discharge were recorded...
2016: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
https://www.readbyqxmd.com/read/26788491/lateral-soft-tissue-x-ray-for-patients-with-suspected-fishbone-in-oropharynx-a-thing-in-the-past
#11
Ali Sanei-Moghaddam, Amin Sanei-Moghaddam, Sara Kahrobaei
INTRODUCTION: Fishbone is the most common foreign body found in the oropharynx. Conventionally patients with suspected fishbone in the throat would have mirror laryngoscopy followed by lateral soft tissue X-ray to look for the fishbone or observe impacts caused by the fishbone i.e. soft tissue swelling or air in upper esophagus. However, the most common site of fishbone impact is the suprahyoid area, which contains high soft tissue and bony density. This makes X-rays less reliable, especially because not all fish have radio-opaque bones...
November 2015: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/26648980/cancellation-of-operations-in-saudi-arabian-hospitals-frequency-reasons-and-suggestions-for-improvements
#12
Khalid O Dhafar, Mutaliq A Ulmalki, Mohammad A Felemban, Mohammed Eid Mahfouz, Mostafa J Baljoon, Zohair J Gazzaz, Mukhtiar Baig, Noha Mansoor Hamish, Saeed A AlThobaiti, Fouzia Talea Al-Hothali
OBJECTIVE: To identify the frequency and reasons of operations cancellation in 25 Makkah region hospitals in Saudi Arabia. METHODS: Retrospective evaluation of the rate of surgery cancellation in 25 hospitals of Makkah region was performed in this study. The data of scheduled surgeries from 15 different surgical specialties was collected from January to December 2013. Frequency and reasons of cancellation of elective surgical cases in different specialty were studied with a view to recommend suggestions for improvement...
September 2015: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/26626142/hemostasis-in-sinus-surgery
#13
REVIEW
Yi C Zhao, Alkis J Psaltis
PURPOSE OF REVIEW: Optimization of the surgical field involves a complex interplay of many factors. Although it is agreed that hemostasis is critical to safe, efficient, and successful sinus surgery, a lack of consensus exists as to the best way to achieve it. This review examines the current body of evidence supporting many of the practices surgeons believe to influence hemostasis. RECENT FINDINGS: Although many of the practices discussed in this article have long been considered to influence hemostasis, it is not until recently that high-level evidence supporting their use has been available...
February 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/26523877/intracranial-hemorrhagic-infarct-after-local-anesthesia-on-nasal-mucosa-a-case-report
#14
Murat Koçyiğit, Safiye Giran Örtekin, Serhat Yaslikaya, Aykut Akpinar
INTRODUCTION: Epinephrine containing local anesthetics are used hemostasis in many cases. Otolaryngologists typically selected to decrease bleeding in surgery field for operations such as especially FESS (Functional Endoscopic Sinus Surgery), septoplasty, septorhinoplasty. In addition to known adverse effects of this local anesthetics agents they have rare complications too. PRESENTATION OF CASE: We presented intracranial hemorrhagic infarction in a 41-year-old male patient after using lidocaine with epinephrine for local anesthesia on nasal mucosa...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26463715/novel-modification-of-voice-prosthesis
#15
Basel Al Kadah, George Papaspyrou, Mathias Schneider, Bernhard Schick
The undesired dilatation of the tracheooesophageal shunt after surgical implantation of voice prosthesis is a typical complication of this procedure. Temporary removal of the prosthesis and reinsertion after a short period of time is a first-line therapeutical option aiming shrinkage of the shunt. Failure of this measure generally is an indication of revision surgery. We present first experiences treating leakage problems with novel modified voice prosthesis without surgical intervention in specified cases...
March 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26388248/the-risk-of-venous-thromboembolism-in-ent-and-head-neck-surgery
#16
Carlos Chiesa Estomba, Teresa Rivera Schmitz, Carla Cristina Ossa Echeverri, Frank Alberto Betances Reinoso, Alejandra Osorio Velasquez, Carmelo Santidrian Hidalgo
OBJECTIVES: Venous thromboembolic disease (VTD) includes deep vein thrombosis (DVT) and pulmonary embolism (PE), thus is one of the most feared postoperative complications developed by patients at any surgical department, because of high morbidity and mortality associated with it. MATERIALS AND METHODS: We performed a retrospective study including all patients operated on at the Otolaryngology Head and Neck Department (tertiary hospital) between January 2009 and December 2013...
2015: Otolaryngologia Polska. the Polish Otolaryngology
https://www.readbyqxmd.com/read/26372493/the-state-of-uk-pediatric-anesthesia-a-survey-of-national-health-service-activity
#17
RANDOMIZED CONTROLLED TRIAL
Michael R J Sury, Renuka Arumainathan, Alla M Belhaj, James H MacG Palmer, Tim M Cook, Jaideep J Pandit
This secondary analysis of the 2013 United Kingdom National Health Service (NHS) Anaesthesia Activity Survey of the Fifth National Audit Project (of the Royal College of Anaesthetists and Association of Anaesthetists of Great Britain and Ireland) shows pediatric anesthesia activity in detail. A local coordinator (LC) in every NHS hospital collected data on patients undergoing any procedure managed by an anesthetist. Questionnaires had 30 question categories. Each LC was randomized to a 2-day period. The pediatric age groups were infants, (<1 year), preschool age (1-5 year), and school age children (6-15 year)...
November 2015: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26307580/perioperative-management-of-antithrombotic-therapy-in-common-otolaryngologic-surgical-procedures-state-of-the-art-review
#18
REVIEW
Wayne D Hsueh, Peter H Hwang, Waleed M Abuzeid
OBJECTIVE: The perioperative management of patients undergoing otolaryngologic procedures is increasingly complicated by the use of newer antithrombotic agents. Furthermore, with advances in anesthesia and surgical technique, otolaryngologists are presented with the challenge of operating on patients with advanced comorbid diseases. The objective of this review is to provide evidence-based recommendations on perioperative antithrombotic management for common otolaryngologic procedures...
October 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26248753/outpatient-based-injection-laryngoplasty-for-the-management-of-unilateral-vocal-fold-paralysis-clinical-outcomes-from-a-uk-centre
#19
H Mohammed, L Masterson, S Gendy, R Nassif
OBJECTIVE: To assess voice outcomes in patients undergoing vocal fold injection (VFI) augmentation laryngoplasty in a clinic-based setting. METHODS: A prospective study of patients with unilateral vocal cord palsy undergoing Radiesse(®) vocal cord augmentation. We used the ten-item voice handicap index (VHI-10) as a postal survey before and after the intervention. RESULTS: A total of 43 patients were referred to our ENT clinic from June 2011 to October 2014 with unilateral vocal cord palsy...
August 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/26159800/clinical-features-of-patients-treated-with-endoscopic-sinus-surgery-for-posttraumatic-paranasal-sinus-mucocele
#20
Yusuke Kojima, Kenzo Tsuzuki, Yoriko Yukitatsu, Hideki Oka, Hironori Takebayashi, Masafumi Sakagami
AIM: The purpose of this study was to analyze the clinical features of patients with posttraumatic paranasal sinus mucocele (PSM). SUBJECTS AND METHODS: Between 2009 and 2013, we performed endoscopic sinus surgery (ESS) on 68 patients with PSM at the Department of Otolaryngology - Head and Neck Surgery at Hyogo College of Medicine. Five male patients (age range, 45-76 years) with posttraumatic PSM were analyzed retrospectively. Diagnosis was based on the history of injury and radiological findings...
2015: ORL; Journal for Oto-rhino-laryngology and its related Specialties
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