3,697 results match your criteria Anesthesia Nose


Pressure Injuries Due to Personal Protective Equipment in COVID-19 Critical Care Units.

Am J Crit Care 2021 Apr 29:e1-e7. Epub 2021 Apr 29.

Alberto Lucchini is a nurse coordinator in the general intensive care unit, ASST Monza, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.

Background: Caring for patients with COVID-19 requires wearing a full set of personal protective equipment (PPE) to avoid contamination. Personal discomfort has been associated with use of PPE, and anecdotal reports describe pressure injuries related to wearing PPE.

Objectives: To investigate the occurrence of device-related pressure injuries due to wearing PPE among Italian nurses caring for patients with COVID-19 in critical care settings. Read More

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Nasal Embryonal Rhabdomyosarcoma in the Pediatric Population: Literature Review and Report of Midline Presentation.

Plast Reconstr Surg Glob Open 2021 Apr 20;9(4):e3534. Epub 2021 Apr 20.

Advocate Children's Hospital, Division of Pediatric Plastic and Craniofacial Surgery, Park Ridge, Ill.

Background: Congenital midline nasal masses are rare anomalies and are typically benign nasal dermoid sinus cysts (NDSCs). Rhabdomyosarcomas (RMSs) are even less common, and only a fraction affect sites like the external nose, nasal cavity, nasopharynx, and paranasal sinuses. We review the clinical presentation and treatment of nasal, nasopharyngeal, and paranasal RMSs and report the first documented midline presentation. Read More

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Clinical, sinonasal, and long-term smell and taste outcomes in mildly symptomatic COVID-19 patients.

Int J Clin Pract 2021 Apr 22:e14260. Epub 2021 Apr 22.

Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Introduction: Coronavirus 2019 disease (COVID-19) has variable clinical, sinonasal, and smell/taste outcomes.

Methods: Observational study was conducted at a tertiary hospital in Amman, Jordan. Demographic data, clinical presentation and smoking status were collected. Read More

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In-office insertion tympanostomy tubes in children using single-pass device.

Laryngoscope Investig Otolaryngol 2021 Apr 2;6(2):325-331. Epub 2021 Feb 2.

Mayo Clinic Rochester Minnesota USA.

Objectives: Insertion of tympanostomy tubes (TT) is generally accomplished in children in the operating room under general anesthesia. We report on 229 children treated in-office with a novel device.

Methods: Investigators participated in an IRB-approved, prospective, single arm, multisite investigation of in-office TT placement in awake children. Read More

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Specialty career preferences among final year medical students at Makerere University College of health sciences, Uganda: a mixed methods study.

BMC Med Educ 2021 Apr 16;21(1):215. Epub 2021 Apr 16.

Department of Pediatrics, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

Background: Uganda has an imbalanced distribution of the health workforce, which may be influenced by the specialty career preferences of medical students. In spite of this, there is inadequate literature concerning the factors influencing specialty career preferences. We aimed to determine the specialty career preferences and the factors influencing the preferences among fifth year medical students in the School of Medicine, Makerere University College of Health Sciences (MakCHS). Read More

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Large thyroglossal duct cyst of the neck mimicking cervical cystic lymphangioma in a neonate: a case report.

J Int Med Res 2021 Apr;49(4):300060521999765

Department of Otolaryngology, First Hospital of 12510Jilin University, Changchun, China.

Thyroglossal duct cyst (TGDC) is a congenital neck malformation, with a rate of approximately 7% in paediatric patients. TGDC is rarely detected in infants aged younger than 1 year. Even though TGDC is histologically benign, it is associated with preterm delivery or sudden infant death due to airway obstruction, with a mortality rate of 30% to 40%. Read More

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Transcanal Endoscopic Retrograde Mastoidectomy for Cholesteatoma: A Prospective Study.

Ear Nose Throat J 2021 Apr 13:1455613211009439. Epub 2021 Apr 13.

Department of Otorhinolaryngology, 475268Patan Academy of Health Sciences, School of Medicine, Lagankhel, Lalitpur, Nepal.

Objectives: To evaluate the feasibility, morphological, and functional outcomes of endoscopic retrograde transcanal mastoidectomy.

Study Design: Prospective study.

Settings: Tertiary Referral Hospital. Read More

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Anaesthetic challenges for a patient with huge superior mediastinal mass in prone position.

BMJ Case Rep 2021 Apr 9;14(4). Epub 2021 Apr 9.

Department of Orthopaedic Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.

Anaesthesia for patients with huge mediastinal mass is very challenging due to the cardiorespiratory embarrassment that may occur. We present a patient with this condition, which was complicated by total airway obstruction, intraoperatively. We discuss the importance of patient positioning and the role of spontaneous ventilation. Read More

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Percutaneous Dilational Tracheostomy for Coronavirus Disease 2019 Patients Requiring Mechanical Ventilation.

Crit Care Med 2021 Apr 8. Epub 2021 Apr 8.

Division of Pulmonary and Critical Care, Department of Medicine, NYU Langone Health, NYU Grossman School of Medicine, New York, NY. Department of Cardiothoracic Surgery, NYU Langone Health, NYU Grossman School of Medicine, New York, NY. Division of Biostatistics, Department of Population Health, NYU Langone Health, NYU Grossman School of Medicine, New York, NY. Division of Ear Nose and Throat, Department of Otorhinolaryngology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY. Division of Critical Care Anesthesia, Department of Anesthesia, NYU Langone Health, NYU Grossman School of Medicine, New York, NY. Division of Thoracic Radiology, Department of Radiology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY.

Objectives: To assess the impact of percutaneous dilational tracheostomy in coronavirus disease 2019 patients requiring mechanical ventilation and the risk for healthcare providers.

Design: Prospective cohort study; patients were enrolled between March 11, and April 29, 2020. The date of final follow-up was July 30, 2020. Read More

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A Rhinolith Turning Out to Be an Intranasal Tooth.

Cureus 2021 Feb 28;13(2):e13616. Epub 2021 Feb 28.

Otorhinolaryngology, Hospital Tengku Ampuan Rahimah Klang, Klang, MYS.

A tooth in the nasal cavity is an uncommon phenomenon. The exact mechanism is unclear, and patients may present with non-specific nasal symptoms. We encountered a 24-year-old patient with history of cleft palate repair, presenting to us with unilateral nasal discharge not improving with conventional medications. Read More

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February 2021

A Systematic Review of the Methods of Assessment of Gastro-Oesophageal Reflux in Anaesthetized Dogs.

Animals (Basel) 2021 Mar 18;11(3). Epub 2021 Mar 18.

School of Veterinary Science, Faculty of Science, Evelyn Williams Building No B10, The University of Sydney, Sydney, NSW 2006, Australia.

We reviewed the definitions and methods of assessment of gastro-oesophageal reflux (GOR) in anaesthetized dogs. Three databases were used. Titles and abstracts were screened by two of the authors independently. Read More

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Asymptomatic SARS-CoV-2 infection among healthcare workers in a non-COVID-19 Teaching University Hospital.

J Public Health Res 2021 Apr 2. Epub 2021 Apr 2.

Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Cairo.

Background: During the COVID-19 pandemic, most of the published reports on COVID-19 emphasized that health care workers (HCWs) get infected more than the general population representing one of the most vulnerable groups. However, that the real percentage of HCWs infected by SARS-CoV-2 in Egypt remains unknown. The researchers conducted the current study to assess seroprevalence of SARS-CoV-2 IgG among HCWs working in a hospital with no SARS-CoV-2 patients, and to identify the potential factors associated with SARS-CoV-2 IgG seropositivity. Read More

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Fire safety study on high-flow nasal oxygen in shared-airway surgeries with diathermy and laser: simulation based on a physical model.

J Clin Monit Comput 2021 Mar 30. Epub 2021 Mar 30.

Department of Anesthesiology, Taipei Veterans General Hospital, No. 201, Shih-Pai Rd. 2nd, Beitou, Taipei City, Taiwan.

High-flow nasal oxygen (HFNO) has been used in "tubeless" shared-airway surgeries but whether HFNO increased the fire hazard is yet to be examined. We used a physical model for simulation to explore fire safety through a series of ignition trials. An HFNO device was attached to a 3D-printed nose with nostrils connected to a degutted raw chicken. Read More

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Characterization of high risk human papilloma virus genotypes associated with oropharyngeal cancers in a Nigerian population.

Pan Afr Med J 2021 15;38:40. Epub 2021 Jan 15.

Department of OBGYN, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Jos, Plateau State, Nigeria.

Introduction: head and neck cancers have essentially been a disease of the elderly but recent studies are beginning to demonstrate their increasing incidence in young people with infections such as human papilloma virus (HPV). This study was carried out to determine the prevalence of high risk Human papilloma virus (hrHPV) related oropharyngeal carcinoma and its prevalent genotypes as well as their strength of association with HIV in adult Nigerian subjects.

Methods: this was a cross-sectional study of 41 patients with oropharyngeal carcinomas seen over a 2-year period. Read More

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A Rare Case of Hemoptysis Caused by a Laryngeal Leech.

Ear Nose Throat J 2021 Mar 26:1455613211000804. Epub 2021 Mar 26.

Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece.

The larynx is an uncommon location for live foreign bodies. The leech can reach the glottis during consumption of contaminated water but is usually expelled by an effective cough reflex. Patients present with hoarseness and dysphagia and occasionally with dyspnea or hemoptysis. Read More

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A New Montgomery® Salivary Bypass Tube Placement Technique: Report of Procedures Performed on Patients With Tracheoesophageal Fistula or Pharyngoesophageal Stenosis.

Ear Nose Throat J 2021 Mar 25:1455613211006002. Epub 2021 Mar 25.

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.

Salivary Bypass Tube is an important tool to prevent or treat some complications of laryngeal and hypopharyngeal surgery and its placement may prove difficult. In this article, we propose a new technique to simplify its management by using an Oral/Nasal Tracheal Tube Cuffed-Reinforced that allowed us to reduce operating times, complications related to prolonged general anesthesia, and the traumas on the tissues incurred during the forced positioning of the device with standard techniques. Read More

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Successful management of subglottic stenosis in pregnancy.

BMJ Case Rep 2021 Mar 24;14(3). Epub 2021 Mar 24.

Department of Anesthesiology, Perioperative and Pain Medicine, Mount Sinai West And Morningside Hospitals, Mount Sinai Health System, New York, New York, USA

Evaluation and management of subglottic stenosis in pregnancy is challenging. It often is not only a multidisciplinary approach between obstetricians, otolaryngologists (ENT surgeons) and anesthesiologists, but also requires a thorough understanding of possible foreseen complications by the patient as well. Hence, whenever we are presented with a challenging case requiring multidisciplinary approach involving team of physicians from different specialties, it is routine practice to huddle regarding the preoperative, intraoperative and postoperative management and care. Read More

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Should we floss our nose? A case report of a tooth in the nasal cavity.

Int J Surg Case Rep 2021 Mar 1;80:105664. Epub 2021 Mar 1.

King Hamad University Hospital, Bahrain.

Introduction And Importance: Supernumerary teeth are an anomaly characterized by the existence of an additional tooth that may grow in the dental arch region, it a rare occurrence and may be confused with other differential diagnosis, it is important treat such case as they can cause considerable morbidity to the patient.

Case Presentation: We report a case of a 16 years old female, not known case of any medical condition, who presented to the Ear, Nose and Throat clinic complaining of nasal obstruction and rhinorrhea. Physical examination and CT findings revealed a right upper central incisor tooth located in anterior aspect of right inferior meatus. Read More

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[Application of septal extension graft with autogenous septal cartilage and auricular cartilage in rhinoplasty].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Mar;56(3):242-248

Head and Neck Cosmetic Surgery Center of Beijing Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China.

To explore the feasibility of reconstruction of nasal tip with septal cartilage and auricular cartilage. From September 2018 to October 2019, 17 patients (two males and fifteen females) with low noses underwent rhinoplasty under general anesthesia. The age of the patients ranged from 19 to 39, with an average of 27 years old. Read More

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Preoxygenation and Anesthesia: A Detailed Review.

Cureus 2021 Feb 9;13(2):e13240. Epub 2021 Feb 9.

Anesthesiology, Bhagwan Mahaveer Jain Hospital, Bangalore, IND.

Initiation of preoxygenation prior to anesthetic induction and tracheal intubation is a commonly recognized technique intended to boost oxygen reservoirs in the body and thus slow the progression of desaturation of arterial hemoglobin at times of apnea. Even though challenges associated with ventilation and intubation are inconsistent, it is preferable for all patients to necessitate preoxygenation. The effectiveness of preoxygenation is measured by its performance and efficiency. Read More

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February 2021

S-ketamine and intranasal application: alternatives for the castration of male suckling piglets?

BMC Vet Res 2021 Mar 16;17(1):122. Epub 2021 Mar 16.

Department for Clinical Veterinary Sciences, Clinic for Swine, Justus-Liebig-University, Giessen, Germany.

Background: The intramuscular injection of ketamine and azaperone was proposed as a suitable anaesthesia for male suckling piglets for surgical castration. However, this can be opposed by massive defensive movements, hypothermia and tachycardia during castration and a long recovery period. The aim of the present study was to test whether the use of S-ketamine and/or a change in the route of application from intramuscular to intranasal could reduce stress responses and the duration of recovery compared to the intramuscular route and the use of racemic ketamine. Read More

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Robert Alden Fales, the fifteen-year-old criminal chloroformist.

J Anesth Hist 2020 12 26;6(4):26-27. Epub 2020 Jul 26.

Anesthesiology and Perioperative Medicine, Case Western Reserve University School of Medicine, 11100 Euclid Ave, Cleveland, OH, 44106, USA; Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine, 2124 Cornell Rd, Cleveland, OH, 44106, USA; Honorary Curator and Laureate of the History of Anesthesia, Wood Library-Museum of Anesthesiology, American Society of Anesthesiologists, 1061 American Lane, Schaumburg, IL, 60173-4973, USA. Electronic address:

An ex-employee of a Newark straw hat factory, 15-year-old Robert Alden Fales battered the factory's cashier Thomas Haydon on the head multiple times with a wooden staff. Fales then applied a chloroform-soaked handkerchief to Haydon's nose until the cashier stopped moving. Arrested and convicted of murder, Fales had his death sentence commuted to life imprisonment. Read More

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December 2020

Usefulness of full-thickness skin grafting from the infraclavicular area for facial reconstruction.

Arch Craniofac Surg 2020 Dec 20;21(6):357-362. Epub 2020 Dec 20.

Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine, Jeju, Korea.

Background: Full-thickness skin grafts (FTSGs) have been widely used after facial skin cancer resection, for correcting defects that are too wide to be reconstructed using a local flap or if structural deformation is expected. The preauricular, posterior auricular, supraclavicular, conchal bowl, nasolabial fold, and upper eyelid skin areas are known as the main donor sites for facial FTSG. Herein, we aimed to describe the effectiveness of using infraclavicular skin as the donor site for specific cases. Read More

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December 2020

High-flow nasal cannulae for respiratory support in adult intensive care patients.

Cochrane Database Syst Rev 2021 03 4;3:CD010172. Epub 2021 Mar 4.

Department of Anaesthesia, Royal Lancaster Infirmary, Lancaster, UK.

Background: High-flow nasal cannulae (HFNC) deliver high flows of blended humidified air and oxygen via wide-bore nasal cannulae and may be useful in providing respiratory support for adults experiencing acute respiratory failure, or at risk of acute respiratory failure, in the intensive care unit (ICU). This is an update of an earlier version of the review.

Objectives: To assess the effectiveness of HFNC compared to standard oxygen therapy, or non-invasive ventilation (NIV) or non-invasive positive pressure ventilation (NIPPV), for respiratory support in adults in the ICU. Read More

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Percutaneous rhinolift procedure for droopy tip.

Am J Otolaryngol 2021 Feb 19;42(4):102988. Epub 2021 Feb 19.

Fatih Sultan Mehmet Education and Research Hospital, Department of Otolaryngology Head and Neck Surgery, Turkey.

Objective: Droopy tip may lead to functional impairment due to nasal valve insufficiency. There are several techniques available in order to correct under rotated tip, including sutures, resection and grafting. The major drawback of these standart procedures is the correction of nasal cartilage framework rather than droopy skin envelope. Read More

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February 2021

Incidence and Risk Factors of Postoperative Severe Discomfort After Elective Surgery Under General Anesthesia: A Prospective Observational Study.

J Perianesth Nurs 2021 Feb 24. Epub 2021 Feb 24.

Department of Anesthesiology, West China Hospital, Sichuan University & The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, Chengdu, Sichuan, People's Republic of China. Electronic address:

Purpose: Patient comfort is an important concern in patients receiving surgery, but the seriousness of discomfort during recovery is unknown. We investigated the incidence of postoperative discomfort based on the Standardized Endpoints in Perioperative Medicine initiative for patient comfort, and identified the risk factors.

Design: This was a single-center prospective observational study. Read More

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February 2021

Healthcare worker protection against epidemic viral respiratory disease.

Postgrad Med J 2021 Feb 26. Epub 2021 Feb 26.

Brighton and Sussex Medical School, University of Sussex, Falmer Campus, Brighton, UK.

Lower respiratory infections are often caused or precipitated by viruses and are a leading cause of global morbidity and mortality. Mutations in these viral genomes can produce highly infectious strains that transmit across species and have the potential to initiate epidemic, or pandemic, human viral respiratory disease. Transmission between humans primarily occurs via the airborne route and is accelerated by our increasingly interconnected and globalised society. Read More

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February 2021

Emergency tracheostomy for failed intubation due to glottic stenosis.

BMJ Case Rep 2021 Feb 26;14(2). Epub 2021 Feb 26.

ENT/Otolaryngology, Royal Perth Hospital, Perth, Western Australia, Australia.

Glottic stenosis can be an unexpected finding during an intubation, causing difficulties that may result in a 'can't intubate, can't ventilate' situation. We present a case of a patient who required an emergency tracheostomy, in the setting of a failed intubation secondary to glottic stenosis. The patient underwent open laryngotracheal reconstruction, followed by tracheostomy decannulation 2 months post-surgery. Read More

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February 2021

Guidelines for the use and interpretation of assays for monitoring autophagy (4th edition).

Autophagy 2021 Jan 8;17(1):1-382. Epub 2021 Feb 8.

University of Crete, School of Medicine, Laboratory of Clinical Microbiology and Microbial Pathogenesis, Voutes, Heraklion, Crete, Greece; Foundation for Research and Technology, Institute of Molecular Biology and Biotechnology (IMBB), Heraklion, Crete, Greece.

In 2008, we published the first set of guidelines for standardizing research in autophagy. Since then, this topic has received increasing attention, and many scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Read More

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January 2021

An Unusual Retained Choanal Foreign Body: A Possible Complication of COVID-19 Testing With Nasopharyngeal Swab.

Ear Nose Throat J 2021 Feb 26:145561321993933. Epub 2021 Feb 26.

9339Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Otolaryngology and Head and Neck Surgery, Milan, Italy.

Testing for coronavirus disease 2019 is critical in controlling the pandemic all over the world. Diagnosis of severe acute respiratory syndrome coronavirus-2 infection is based on real-time polymerase chain reaction performed on nasopharyngeal swab. If not adequately performed, the viral specimen collection can be painful and lead to complications. Read More

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February 2021