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uri and anesthesia

Uri Elbaz, Kamiar Mireskandari, Nasrin Tehrani, Carl Shen, Saad Khan, Sara Luck, Asim Ali
PURPOSE: To establish a normative database of endothelial cell density (ECD) using in-vivo specular microscopy in children under 5 years old. DESIGN: Cross sectional study. METHODS: Specular microscopy was performed during a clinic visit in cooperative children in the standard upright position. In uncooperative children, specular microscopy was performed in the lateral decubitus position under general anesthesia, prior to surgery for other reasons...
October 13, 2016: American Journal of Ophthalmology
Papiroon Noitasaeng, Phongthara Vichitvejpaisal, Uaypom Kaosombatwattana, Jaiyen Tassanee, Siriwongsa Suwannee
OBJECTIVE: Esophago-gastro-duodenoscopy (EGD) was performed under the topical anesthesia of the pharynx. However spraying lidocaine was found to be an annoying maneuver to patients, while nebulized lidocaine appeared to efficiently suppress gags and cough reflexes in airway anesthesia. This study aimed to compare the effectiveness of spraying and nebulized lidocaine for patients undergoing EGD. MATERIAL AND METHOD: A total of 110 patients undergoing elective EGD, with a history of neither lidocaine intolerance nor irritable airways due to smoking, chronic obstructive pulmonary disease (COPD), upper respiratory infection, asthma, cardiac and pulmonary diseases and allergy to lidocaine were included...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Uri Elbaz, Asim Ali, Kamiar Mireskandari
PURPOSE: To report long-term endothelial cell counts after penetrating keratoplasty (PKP) in infants. METHODS: The charts of all children who have undergone PKP in their first year of life between 1998 and 2013 at the Hospital for Sick Children, Toronto, Canada, were reviewed retrospectively. Patients who had a single successful transplant with a valid endothelial cell density (ECD) analysis postsurgery were included in the study. Donor ECDs were provided by a local eye bank...
June 2016: Cornea
Babak Gharaei, Alireza Jafari, Mahtab Poor Zamany, Mohammadreza Kamranmanesh, Homayoun Aghamohammadi, Fatemeh Roodneshin, Houman Teymourian, Yasmin Khazaie, Payman Dadkhah
BACKGROUND: The current randomized double-blind clinical trial aimed to compare the incidence of post-operative cough with intravenous vs. topical lidocaine in children with mild upper respiratory infection (URI) anesthetized with laryngeal mask airway (LMA) in the university-affiliated medical center. OBJECTIVES: To assess the incidence of adverse respiratory event including cough, apnea, laryngospasm, bronchospasm following two different methods of lidocaine administration in anesthetized children with mild URI...
August 2015: Anesthesiology and Pain Medicine
Anuradha Patel, Scott R Clark, Moshe Schiffmiller, Catherine Schoenberg, George Tewfik
BACKGROUND: Laryngeal mask is frequently the airway device of choice in routine general anesthesia for many procedures in children. Several studies have described the use of laryngeal masks in unconventional situations. This survey was undertaken to assess how laryngeal masks are being used by pediatric anesthesiologists. METHOD: The 40-question electronic survey using SurveyMonkey™ was sent to 2740 members of the Society for Pediatric Anesthesia (SPA). This survey assessed the age, work environment, types of practice, and training levels, as well as clinical situations in which the practitioners use laryngeal masks across different pediatric age groups...
November 2015: Paediatric Anaesthesia
Uri Elbaz, Kamiar Mireskandari, Carl Shen, Asim Ali
PURPOSE: To report the outcomes of corneal fine needle diathermy (FND) with adjuvant intrastromal and subconjunctival bevacizumab injection for corneal neovascularization (CN) in children. METHODS: Medical records of all children who had undergone FND with adjuvant bevacizumab injection were reviewed retrospectively. Treatment efficacy was evaluated by changes in visual acuity, regression of CN, and clearing of lipid deposits with the aid of slit-lamp color images that were taken before surgical intervention and at last follow-up visit...
July 2015: Cornea
Robert D Bains, Uri Elbaz, Ronald M Zuker, Asim Ali, Gregory H Borschel
Corneal anesthesia is a debilitating condition which can ultimately lead to blindness from repetitive corneal injury and scarring. We have developed a minimally invasive technique for corneal re-innervation that we have used with excellent results in ten eyes. This article and accompanying video describes the relevant anatomy and demonstrates the technique in detail.
February 2015: Plastic and Reconstructive Surgery
Uri Elbaz, Robert Bains, Ronald M Zuker, Gregory H Borschel, Asim Ali
IMPORTANCE: Corneal anesthesia is recalcitrant to conventional treatment and can lead to permanent visual loss. OBJECTIVE: To assess the outcomes of a novel sensory reconstructive technique for the treatment of corneal anesthesia. DESIGN, SETTING, AND PARTICIPANTS: This prospective study evaluating a new technique was conducted at a tertiary referral center. Four eyes in 3 patients with corneal anesthesia underwent nerve transfers with nerve grafting to restore corneal sensation...
November 2014: JAMA Ophthalmology
Uri Ladabaum, Zachary Levin, Ajitha Mannalithara, Joel V Brill, M Kate Bundorf
OBJECTIVES: Screening decreases colorectal cancer (CRC) mortality. The national press has scrutinized colonoscopy charges. Little systematic evidence exists on colorectal testing and payments among commercially insured persons. Our aim was to characterize outpatient colorectal testing utilization and payments among commercially insured US adults. METHODS: We conducted an observational cohort study of outpatient colorectal test utilization rates, indications, and payments among 21 million 18-64-year-old employees and dependants with noncapitated group health insurance provided by 160 self-insured employers in the 2009 Truven MarketScan Databases...
October 2014: American Journal of Gastroenterology
David A August, Lucinda L Everett
Pediatric patients often undergo anesthesia for ambulatory procedures. This article discusses several common preoperative dilemmas, including whether to postpone anesthesia when a child has an upper respiratory infection, whether to test young women for pregnancy, which children require overnight admission for apnea monitoring, and the effectiveness of nonpharmacological techniques for reducing anxiety. Medication issues covered include the risks of anesthetic agents in children with undiagnosed weakness, the use of remifentanil for tracheal intubation, and perioperative dosing of rectal acetaminophen...
June 2014: Anesthesiology Clinics
Karin Becke
Infections of the upper respiratory tract ( URI) are the most common preoperative encountered comorbidity in childhood. Whether anesthesia for a child with respiratory infection should be performed or better be canceled, is still a dilemma for many anesthetists. The reasons for this are understandable: respiratory infections are associated with an increased incidence of perioperative respiratory adverse events, and there have been no evidence-based recommendations for the procedure in the individual case. The reason appears to be the asthma-like airway hyperreactivity...
March 2014: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Michael J Prerau, Patrick L Purdon, Uri T Eden
We develop a particle filter algorithm to simultaneously estimate and track the instantaneous peak frequency, amplitude, and bandwidth of multiple concurrent non-stationary components of an EEG signal in the time-frequency domain. We use this method to characterize human EEG activity during anesthesia-induced unconsciousness.
2013: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Yoshihisa Miyamoto, Koui Ka
Fever and upper respiratory tract infections (URI) are frequently-encountered preoperative comorbidities. Whether or not to proceed with anesthesia for a child with common cold is still a continuing dilemma for anesthesiologists. We, anesthesiologists often feel uncomfortable in making a decision whether or not to proceed because URI is associated with perioperative respiratory adverse events (PRAEs) and there are no definite rules to proceed with or postpone a case. Most of PRAEs are easily managed by experienced hands; however, laryngospasm or bronchospasm without early detection and immediate treatment would probably result in serious sequelae...
September 2013: Masui. the Japanese Journal of Anesthesiology
So Yeon Kim, Jeong Min Kim, Jae Hoon Lee, Young Ran Kang, Seung Ho Jeong, Bon-Nyeo Koo
BACKGROUND: Active upper respiratory tract infection (URI), orotracheal intubation and use of inhalation anesthetics are known risk factors for perioperative respiratory adverse events (RAE). This study investigated the risk factors of perioperative RAE in children with these risk factors. METHODS: The records of 159 children who underwent general anesthesia with an orotracheal tube and inhalation were reviewed. These patients also had at least one of the following URI symptoms on the day of surgery: clear or green nasal secretion, dry or moist cough, nasal congestion, or fever...
August 2013: Korean Journal of Anesthesiology
Andrew Blumenfeld, Avi Ashkenazi, Uri Napchan, Steven D Bender, Brad C Klein, Randall Berliner, Jessica Ailani, Jack Schim, Deborah I Friedman, Larry Charleston, William B Young, Carrie E Robertson, David W Dodick, Stephen D Silberstein, Matthew S Robbins
OBJECTIVE: To describe a standardized methodology for the performance of peripheral nerve blocks (PNBs) in the treatment of headache disorders. BACKGROUND: PNBs have long been employed in the management of headache disorders, but a wide variety of techniques are utilized in literature reports and clinical practice. METHODS: The American Headache Society Special Interest Section for PNBs and other Interventional Procedures convened meetings during 2010-2011 featuring formal discussions and agreements about the procedural details for occipital and trigeminal PNBs...
March 2013: Headache
Joseph G Ouzounian, Uri Elkayam
The major adaptations of the maternal cardiovascular system that progress throughout gestation may unmask previously unrecognized heart disease and result in significant morbidity and mortality. Most of these changes are almost fully reversed in the weeks and months after delivery. Hemodynamic changes during pregnancy include increased blood volume, cardiac output (CO), and maternal heart rate; decreased arterial blood pressure; decreased systemic vascular resistance. CO increases up to 30% in the first stage of labor, primarily because of increased stroke volume; maternal pushing efforts in the second stage of labor can increase CO by as much as 50%...
August 2012: Cardiology Clinics
I Constant, N Louvet, M-L Guye, N Sabourdin
INTRODUCTION: The practice of pediatric anesthesia requires a regular update of scientific knowledge and technical skills. To provide the most adequate Continuing Medical Education programs, it is necessary to assess the practices of pediatric anesthesiologists. Thus, the objective of this survey was to draw a picture of the current clinical practices of general anesthesia in children, in France. MATERIAL AND METHODS: One thousand one hundred and fifty questionnaires were given to anesthesiologists involved in pediatric cases...
September 2012: Annales Françaises D'anesthèsie et de Rèanimation
Yaniv Dotan, Giora Pillar, Nave Tov, Ron Oliven, Uri Steinfeld, Luis Gaitini, Majed Odeh, Alan R Schwartz, Arie Oliven
Pharyngeal collapsibility during sleep is believed to increase due to a decline in dilator muscle activity. However, genioglossus electromyogram (EMG) often increases during apnoeas and hypopnoeas, often without mechanical effect. 17 patients with obstructive sleep apnoea were anaesthetised and evaluated from termination of propofol administration to awakening. Genioglossus EMG, flow and pharyngeal area (pharyngoscopy) were monitored. Prolonged hypopnoeas enabled evaluation of the relationships between genioglossus EMG and mechanical events, before and after awakening...
January 2013: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Ofir Uri, Eyal Behrbalk, Amir Haim, Ehud Kaufman, Pinchas Halpern
BACKGROUND: The use of procedural sedation and analgesia to allow painful orthopaedic manipulations in the emergency department has become a standard practice over the last decade. Both propofol and midazolam/ketamine are attractive sedative regimens for routine use in the emergency department. We hypothesized that sedation with propofol as compared with midazolam/ketamine will save time in the emergency department. The purpose of the present study was to compare the recovery time, the total sedation time, and the adverse events of procedural sedation and analgesia induced with propofol as compared with midazolam/ketamine...
December 21, 2011: Journal of Bone and Joint Surgery. American Volume
Babak Gharaei, Homayoun Aghamohammadi, Alireza Jafari, Sajjad Razavi, Mohammadreza Kamranmanesh, Alireza Shafiei Poor Kermany
OBJECTIVE: The incidence of postoperative cough (primary outcome) and adverse respiratory events (secondary outcome) in children who received anesthesia by laryngeal mask airway (LMA) with children who received anesthesia by face mask (FM) was compared in a blind randomized trial with uncomplicated upper respiratory track infection (URI) undergoing general anesthesia. Previous studies of pediatric patients with URI receiving anesthesia by endotracheal tube have reported a greater number of anesthetic complications; however reports concerning adverse effects in pediatric patients with URI receiving anesthesia by LMA or FM are scanty...
December 2011: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
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