Update on ENT anaesthesia

Publication date: Available online 11 November 2015 Source:Anaesthesia & Intensive Care Medicine Author(s): Peter Harper, Lindsay Rawling, Zoë Brown This review is an update of anaesthesia for common elective paediatric ear, nose and throat (ENT) procedures. ENT is the most frequently performed surgery in children. These often-complex procedures are increasingly booked as day cases but judicious selection of suitable children is important. Suitability may be determined by preoperative assessment of co-morbidities, consequences of the child's presenting pathology (e.g. obstructive sleep apnoea) or a history of recent upper respiratory tract infections. The anaesthetic management of frequently performed paediatric ENT procedures will be discussed, including the potential role for dexmedetomidine.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research

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Conclusion: This study demonstrates that BMI and NC have a strong association with difficult airway in obese patients and are inversely related to SAT. Amongst these NC is the single most important predictor of difficult airway in obese and should be used as a screening tool.
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
Publication date: Available online 14 February 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Audrey De Jong, Amélie Rollé, François-Régis Souche, Olfa Yengui, Daniel Verzilli, Gérald Chanques, David Nocca, Emmanuel Futier, Samir JaberAbstractThe obese patient is at risk of perioperative complications including difficult airway access (intubation, difficult or impossible ventilation), and postextubation acute respiratory failure due to the formation of atelectases or to airway obstruction. The association of obstructive sleep apnoea syndrome (OSA) with obesity is very ...
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
uel M Abstract PURPOSE: Patient characteristics associated with difficult tracheal intubation using a flexible bronchoscope (FB) under general anesthesia have not been prospectively evaluated. This observational study aimed to identify demographic and morphologic factors associated with difficult FB intubation. METHODS: We recruited 420 adult elective surgery patients undergoing tracheal intubation during general anesthesia. Patients characteristics were recorded including age, sex, weight, height, body mass index, American Society of Anesthesiologists physical status, history of snoring, obstructive sleep ap...
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Conclusion: Six-minute walk test is a reliable predictor of post-operative pulmonary complications with a cut-off 6MWD of 390 m in the studied oncosurgery patients.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
This study includes analysis of data from a prospective cohort of 1017 TKA recipients. Pre-operative patient variables, surgical and acute-care data were collected. The Oxford knee score and the global perception of improvement were used to assess satisfaction and success 365  days post-surgery.ResultsFrom 1017 patients (56% female), mean age 68  years and BMI 32, 68 pts (7%) were dissatisfied with the outcome of surgery, 141 pts (14%) believed surgery was unsuccessful 1 year after TKA. A negative outcome was noted in 151 (15%) patients for either satisfaction or success, and 58 (6%) of patients re...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Saudi Journal of Anaesthesia 2020 14(1):144-144
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Source Type: research
CONCLUSION: Obese patients require comprehensive preoperative evaluation. Experienced medical teams, appropriate equipment and monitoring, careful anaesthetic management, and an adequate perioperative ventilation strategy may improve postoperative outcomes. Additional perioperative precautions are necessary in patients with severe morbid obesity, metabolic syndrome, untreated or severe obstructive sleep apnoea syndrome, or obesity hypoventilation syndrome; patients receiving home ventilatory support or postoperative opioid therapy; and obese patients undergoing open operations, long procedures or revisional surgery. P...
Source: The British Journal of Surgery - Category: Surgery Authors: Tags: Br J Surg Source Type: research
Abstract Obstructive sleep apnoea (OSA) is a common childhood disorder which can lead to serious health problems if left untreated. Enlarged adenoid and tonsils are the commonest causes and adenotonsillectomy is the recommended first line of treatment. OSA poses as an anaesthetic challenge and it is a well-known risk factor for perioperative adverse events. The presence and severity of OSA diagnosis will influence anaesthesia, pain management and level of monitoring in recovery period. Preoperative OSA assessment is necessary and anaesthetists are ideally placed to do so. Currently, there is no standardized approa...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
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