keyword
https://read.qxmd.com/read/38406051/anaesthetic-management-of-distal-penile-hypospadias-in-a-g6pd-deficient-adolescent-subarachnoid-block-as-a-safe-alternative
#1
Inayat Garg, Gopal Jalwal, Jyoti Kanwat, Soumya Murmu
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common X-linked recessive red blood cell disease in humans. The highest prevalence of G6PD deficiency is reported to be in Africa, Southern Europe, the Middle East, Southeast Asia, and the islands of the Central and South Pacific. G6PD deficiency causes acute hemolysis upon exposure to oxidative stress. Various stress factors that can cause hemolysis include infections, fever, sepsis, various foods such as fava beans, and various medications. In this report, we describe the case of a 13-year-old child who was diagnosed with G6PD deficiency in childhood but did not experience typical complications, such as hemolysis or jaundice...
January 2024: Curēus
https://read.qxmd.com/read/38089669/factors-associated-with-immediate-postoperative-pulmonary-complications-after-appendectomies-under-general-anesthesia-a-retrospective-analysis
#2
JOURNAL ARTICLE
Neeraj Kumar, Mohammed Am Ayasa, Chitrambika P Krishnadas, Prem Chandra, Mamdouh M Al-Mustafa, Simi Praveen, Tripti Sinha, Sreethish Sasi
BACKGROUND: Postoperative pulmonary complications (PPC) include any complication that affects the respiratory system after anesthesia and surgery and are a significant cause of postoperative mortality and morbidity. OBJECTIVES: To describe the risk factors for immediate postoperative pulmonary complications after appendectomy under general anesthesia and to determine if rapid sequence induction decreases the risk. DESIGN AND SETTING: A retrospective analysis of perioperative medical records of patients who underwent appendectomy under general anesthesia over a year, from January 1st, 2014, to December 31st, 2014, at Hamad General Hospital, Doha, Qatar, was done...
2023: Qatar Medical Journal
https://read.qxmd.com/read/38073684/mortal-condition-in-an-unusual-localization-analysis-of-isolated-tongue-and-tongue-base-abscesses
#3
JOURNAL ARTICLE
Kemal Koray Bal, Harun Gür, Ibrahim Demir, Onur Ismi, Yusuf Vayisoglu, Kemal Gorur, Cengiz Ozcan, Murat Unal
BACKGROUND: Tongue abscess (TA) is a very rare clinical condition and its treatment is very important. Surgical drainage is at the forefront in the treatment. Our study includes patients with tongue and tongue base abscesses. AIM: To discuss the clinical and laboratory findings of these patients emphasizing the underlying causes and treatment options with the largest patient series in the English literature. METHODS: We included patients with isolated TA who applied to our clinic between January 1, 2020 and January 1, 2023...
November 16, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/38050910/perioperative-respiratory-adverse-events-following-general-anesthesia-among-pediatric-patients-after-covid-19
#4
JOURNAL ARTICLE
Jung-Bin Park, Jin Young Sohn, Pyoyoon Kang, Sang-Hwan Ji, Eun-Hee Kim, Ji-Hyun Lee, Jin-Tae Kim, Hee-Soo Kim, Young-Eun Jang
BACKGROUND: The perianesthetic morbidity, mortality risk and anesthesia-associated risk after preoperative coronavirus disease 2019 (COVID-19) omicron variant in pediatric patients have not been fully demonstrated. We examined the association between preoperative COVID-19 omicron diagnosis and the incidence of overall perioperative adverse events in pediatric patients who received general anesthesia. METHODS: This retrospective study included patients aged < 18 years who received general anesthesia between February 1 and June 10, 2022, in a single tertiary pediatric hospital...
December 4, 2023: Journal of Korean Medical Science
https://read.qxmd.com/read/37885787/effect-of-promethazine-in-cleft-surgeries-among-indian-children
#5
JOURNAL ARTICLE
Vedha Vivigdha A, Senthil Murugan P, Santhosh Kumar Mp, Murugesan Krishnan, Sneha Alladi
The use of antihistamine therapy in children for the management of upper respiratory tract infections remains a topic of debate. In this study, we focused on evaluating the effectiveness of promethazine (Phenergan), a first-generation H1 receptor antagonist and sedative, in addressing preoperative and intra-operative sequelae in cleft surgeries. A single-centered, parallel, randomized, double-blinded controlled clinical trial was conducted on 128 children aged 2 to 4 years undergoing cleft palate surgery under general anesthesia...
2023: Bioinformation
https://read.qxmd.com/read/37820602/management-of-implant-extrusion-following-thyroplasty-for-vocal-fold-paralysis-a-case-report
#6
Barbara Konjević, Andro Košec, Mirta Peček, Siniša Stevanović
The most widely used laryngeal surgery technique for patients with vocal fold paralysis is medialization thyroplasty. Materials such as Gore-Tex, silastic, and hydroxyapatite are often used, and the most worrisome possible complication is extrusion of the implant. A 36-year-old female patient with a history of pediatric cardiac surgery was diagnosed with left vocal cord paralysis after an episode of upper respiratory infection with a working diagnosis of subclinical left vocal cord paralysis following cardiac surgery...
October 11, 2023: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://read.qxmd.com/read/37694500/neurological-burden-and-outcomes-of-excessive-%C3%AE-lactam-serum-concentrations-of-critically-ill-septic-patients-a-prospective-cohort-study
#7
JOURNAL ARTICLE
Yoann Zerbib, Clement Gaulin, Sandra Bodeau, Benjamin Batteux, Anne-Sophie Lemaire-Hurtel, Julien Maizel, Loay Kontar, Youssef Bennis
BACKGROUND: Therapeutic drug monitoring (TDM) contributes to optimizing exposure to β-lactam antibiotics. However, how excessive exposure to β-lactams can increase the burden of care of critically ill patients is unclear. PATIENTS AND METHODS: In a prospective cohort study, we examined whether excessive β-lactam serum concentrations contribute to neurological deterioration and the associated complications of adult septic patients without recent history of neurological disease treated with β-lactams in a medical ICU...
November 6, 2023: Journal of Antimicrobial Chemotherapy
https://read.qxmd.com/read/37659165/association-between-preoperative-respiratory-symptoms-and-perioperative-respiratory-adverse-events-in-pediatric-patients-with-positive-viral-testing
#8
JOURNAL ARTICLE
Rita Saynhalath, Proshad N Efune, Paul A Nakonezny, Gijo Alex, Jessica N Sabers, Lee M Clintsman, Kiley F Poppino, Peter Szmuk, Ethan L Sanford
STUDY OBJECTIVE: To determine the association between the presence of upper respiratory tract viral infection symptoms and occurrence of perioperative respiratory adverse events (PRAE) in children with positive viral screening, and to analyze the risk of PRAE in children with SARS-CoV-2 compared to non-SARS-CoV-2 infection. DESIGN: A prospective cohort study. SETTING: A tertiary, freestanding pediatric hospital in Dallas, Texas. PATIENTS: Children <18 years of age with positive respiratory viral testing who underwent general anesthesia...
November 2023: Journal of Clinical Anesthesia
https://read.qxmd.com/read/37528359/elective-surgery-cancellations-in-pediatric-surgery-rate-and-reasons
#9
JOURNAL ARTICLE
Maha Ben Mansour, Oussama Lassioued, Sawsen Chakroun, Amine Slimene, Sabrine Ben Youssef, Amine Ksiaa, Mourad Gahbiche
INTRODUCTION: Canceling pediatric elective surgery leads to multiple disturbances regarding the inefficient operating room (OR) management, the financial repercussions, and the psychological impact on the patient and his family. This study aims to identify the reasons for cancellations among the pediatric population in our setting and suggest some convenient solutions. METHODS: We carried out a prospective and descriptive study over 12 months in the pediatric surgery department of Fattouma Bourguiba University Hospital...
August 2, 2023: BMC Pediatrics
https://read.qxmd.com/read/37443516/post-extubation-use-of-high-flow-nasal-oxygenation-induces-upper-airway-leak-and-intrathoracic-sepsis-after-successful-bentall-procedure-a-case-report
#10
JOURNAL ARTICLE
Yu-Yang Liao, Hsuan-Yin Wu, Chen-Fuh Lam, Yi-Ming Wang
RATIONALE: In recent few years, high-flow nasal oxygenation (HFNO) has been widely used for management of acute hypoxemic respiratory failure and during postextubation periods, including after endotracheal intubation general anesthesia (ETGA). However, HFNO generates positive pressure in the injured airway following removal of endotracheal tube may cause airway leaks. This is the first case report of severe airway leak syndrome following postextubation use of HFNO in surgical patients...
July 14, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37408495/anesthesia-for-laryngotracheal-reconstruction-in-children-a%C3%A2-narrative-review
#11
REVIEW
Amy J Lee, Jeremy D Prager, Tessa N Mandler, Debnath Chatterjee, Todd M Wine, Norah R Janosy
Laryngotracheal stenosis, congenital or acquired, is a common cause of pediatric airway obstruction. Acquired subglottic stenosis frequently results from prolonged neonatal intubation. The clinical presentation of subglottic stenosis is variable, ranging from biphasic stridor and frequent upper respiratory infections to acute airway compromise. Optimal patient care requires clinical coordination within a multidisciplinary subspecialty team. Medical management includes optimizing respiratory status, gastroesophageal reflux, speech, feeding, nutrition therapies, and providing psychosocial support...
November 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/37255907/subglottic-hemangioma-a-hidden-mass-presenting-in-an-unusual-age-group
#12
Thilaga Rajendran, Mawaddah Azman
Subglottic hemangiomas are rare in adulthood. The presence of the lesion in the subglottic region makes it even more unusual. Moreover, these lesions do not have a typical course and involution changes as seen in the infantile forms. An elderly female initially came with a brief history of dyspnea and symptoms of upper respiratory tract infection. The patient also complained of a change of voice and noisy breathing, with a recent history of intubation following COVID-19 pneumonia and late-onset bronchial asthma...
April 2023: Curēus
https://read.qxmd.com/read/37076895/sudden-life-threatening-laryngeal-edema-in-pregnancy-a-case-report
#13
JOURNAL ARTICLE
Vincent Chrisnata, Adhrie Sugiarto, Erniody Erniody, Aldy Sethiono
BACKGROUND: Severe laryngeal edema during pregnancy is uncommon but can be encountered, particularly in patients with preeclampsia accompanied by other comorbidities. Careful consideration must be given to balance the urgency of securing the airway with the safety of the fetus and the patient's long-term health consequences. CASE PRESENTATION: A 37-year-old Indonesian woman was brought to the emergency department at 36 weeks gestation due to severe dyspnea...
April 20, 2023: Journal of Medical Case Reports
https://read.qxmd.com/read/36969907/predictors-of-perioperative-respiratory-adverse-events-among-children-with-upper-respiratory-tract-infection-undergoing-pediatric-ambulatory-ilioinguinal-surgery-a-prospective-observational-research
#14
JOURNAL ARTICLE
Anouar Jarraya, Manel Kammoun, Saloua Ammar, Wiem Feki, Kamel Kolsi
OBJECTIVES: Anesthesia for children with an upper respiratory tract infection (URI) has an increased risk of perioperative respiratory adverse events (PRAEs) that may be predicted according to the COLDS score. The aims of this study were to evaluate the validity of the COLDS score in children undergoing ilioinguinal ambulatory surgery with mild to moderate URI and to investigate new predictors of PRAEs. METHODS: This was a prospective observational study including children aged 1-5 years with mild to moderate symptoms of URI who were proposed for ambulatory ilioinguinal surgery...
2023: World journal of pediatric surgery
https://read.qxmd.com/read/36577959/do-covid-19-pandemic-related-behavior-changes-affect-perioperative-respiratory-adverse-events-in-children-undergoing-cardiac-interventional-catheterization
#15
JOURNAL ARTICLE
Wei Ji, Kan Zhang, Mengqi Li, Siyuan Wang, Liping Sun, Yue Huang, Jie Bai, Mazhong Zhang, Jijian Zheng
BACKGROUND: The novel coronavirus disease (COVID-19) suddenly broke out in China in December 2019. Pandemic-related behavioral changes can cause perioperative respiratory adverse events in children with congenital heart disease (CHD). Here, we compared the incidence of perioperative respiratory adverse events (PRAEs) in CHD children with and without upper respiratory infection (URI) undergoing the cardiac catheterization before and during the COVID-19 pandemic. METHODS: This prospective observational single-center study was based at a tertiary care center in Shanghai, China...
December 28, 2022: BMC Anesthesiology
https://read.qxmd.com/read/36505227/prediction-of-endotracheal-tube-size-in-the-pediatric-age-group-by-ultrasound-a-systematic-review-and-meta-analysis
#16
REVIEW
Bhavna Gupta, Pallavi Ahluwalia
Anatomical differences in the airway in pediatric patients, compared to adults pose many challenges during endotracheal intubation, such as selecting the proper sized endotracheal tube (ETT) during intubation. Our primary objective was to assess how accurate is ultrasound (US) co-relation in comparison to standard age-based formulas in pediatric patients. Meta-analysis was registered in PROSPERO 2020, CRD42020220041. Online literature available in PubMed, Cochrane, and Embase, Goggle scholar was searched from year 2000 till November 30, 2020, using relevant Mesh terms, ('airway US' OR (('airway'/exp OR airway) AND ('US'/exp OR US))) AND ('endotracheal intubation'/exp OR 'endotracheal intubation') AND ('pediatric'/exp OR pediatric)" to Predict endotracheal tube size/placement in pediatric age (neonate till 18 years) by the US...
2022: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/36361140/the-incidence-of-acute-respiratory-infection-was-higher-in-the-older-adults-with-lower-limb-fracture-who-receive-spinal-anesthesia-than-those-who-receive-general-anesthesia
#17
JOURNAL ARTICLE
Kuang-Ting Yeh, Wen-Tien Wu, Ru-Ping Lee, Jen-Hung Wang, Tsung-Ying Chen
INTRODUCTION: Acute respiratory infection (ARI) can significantly reduce postoperative quality of life and impair the recovery of older adult patients with lower-limb fractures, and its relationship with methods of anesthesia remains inconclusive. Using data from the National Health Insurance Research Database (NHIRD) of Taiwan, this study examined the data of patients who received surgical management for lower-limb fractures and compared those who underwent general anesthesia (GA) with those who underwent regional anesthesia (RA) in terms of their incidence of acute upper and lower respiratory infection during the one-month postoperative period...
November 1, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/36328573/mortality-prediction-of-covid-19-in-hospitalized-patients-using-the-2020-diagnosis-procedure-combination-administrative-database-of-japan
#18
JOURNAL ARTICLE
Shuko Nojiri, Yoshiki Irie, Rie Kanamori, Toshio Naito, Yuji Nishizaki
Objectives Numerous people have died from coronavirus disease 2019 (COVID-19) infection. Identifying crucial predictive biomarkers of disease mortality is critical to support decision-making and logistic planning in healthcare systems. This study investigated the association between mortality and medical factors and prescription records in 2020 in Japan, where COVID-19 prevalence and mortality remain relatively low. Methods This retrospective cohort study analyzed anonymous administrative data from the Diagnosis Procedure Combination (DPC) database in Japan...
January 15, 2023: Internal Medicine
https://read.qxmd.com/read/36295501/risk-assessment-of-perioperative-respiratory-adverse-events-and-validation-of-the-colds-score-in-children-with-upper-respiratory-tract-infection
#19
JOURNAL ARTICLE
Hyo Sung Kim, Young Sung Kim, Byung Gun Lim, Jae Hak Lee, Jihyun Song, Heezoo Kim
Background and objectives: Children are at greater risk of upper respiratory tract infection (URTI), which can pose a higher risk of perioperative respiratory adverse events (PRAEs), than adults. The purpose of this study was to validate the COLDS score as a pre-anesthetic risk assessment tool for predicting the possibility of PRAEs. Materials and methods: Children aged under 18 years and undergoing elective surgery were retrospectively included. Logistic regression analysis and the area under the receiver-operating characteristic (ROC) curve (AUC) were used to estimate the ability of the COLDS score to predict PRAEs...
September 23, 2022: Medicina
https://read.qxmd.com/read/36049740/-perioperative-complications-in-pediatric-anesthesia
#20
JOURNAL ARTICLE
Katharina Röher, Frank Fideler
Perioperative complications are more frequent in younger children, especially under the age of 3 years and in infants. The anatomy and physiology of children cause more respiratory adverse events compared to adult patients. Respiratory adverse events account for 60% of all anesthetic complications. Main risk factors for respiratory adverse events are upper respiratory tract infections. Keeping the airway management as noninvasive as possible helps prevent major complications.Perioperative hypotension can compromise cerebral oxygenation, especially when hypocapnia and anemia are present...
September 2022: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
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