Measurement of the Cellular Hemoglobin Concentration by Laser Scatter Method from Excessive Lipemic Sample? : CASE REPORT.
Measurement of the Cellular Hemoglobin Concentration by Laser Scatter Method from Excessive Lipemic Sample? : CASE REPORT. Comb Chem High Throughput Screen. 2019 Sep 25;: Authors: Gönel A, Koyuncu I Abstract A 33-month-old girl with acute tonsillitis had familial hyperlipidemia. The measurement of the patient's whole blood tests were performed on hematology analyzer (Ruby, Abbott) from a venous blood taken in a tube containing 3.0 mL of EDTA. Although HCT was within normal limits, HGB, MCH, MCHC tests could not be measured by spectrophotometric method. These tests could not be measured when repeated with dilution. When the sample was retained for several minutes, it was observed excessively lipemic. When the measurement was repeated with Alinity HQ system, which can confirm HGB concentration by laser scatter method. HGB concentration was falsely measured at 21.9 mg / dL by routine spectrophotometric method with interference flag. This concentration was corrected by cellular HGB concentration measured at 10.8 mg / dL. In excessive lipemic samples, HGB, MCH and MCHC levels cannot be measured accurately by spectrophotometric methods. Hematology analyzers that can measure cellular hemoglobin (cHGB) and average erythrocyte hemoglobin concentration (cHCM) by laser scatter may be recommended as a reference method in excessive lipemic samples. PMID: 31553289 [PubMed - as supplied by publisher]
Publication date: Available online 10 November 2019Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): O. Laccourreye
ConclusionAs deep neck space infections can be life-threatening, clinicians must be aware and not underestimate their potential severity. Lemierre's syndrome is a complication difficult to recognize, which requires additional awareness of the many possible presentations, for appropriate diagnostic studies and therapeutic plan.
CONCLUSIONS: This study will explore the clinical benefits of adding transoral ultrasound to the diagnostic work-up of patients with peritonsillar infections. FUNDING: The Rigshospitalet and Odense University Hospital Foundation. TRIAL REGISTRATION: Clinicaltrials NCT03824288. PMID: 31686648 [PubMed - in process]
By TAYLOR CHRISTENSEN, MD I strongly believe that getting people the information and incentives necessary to choose higher-value providers and insurers is the solution to improving value in healthcare (see my Healthcare Incentives Framework). But, you say, we’ve tried that and it doesn’t work, and current efforts are a waste of time! Here’s an example of some great research that you might use to support your opinion: Examining a Health Care Price Transparency Tool: Who Uses It, and How They Shop for Care (Sinaiko and Rosenthal, Health Affairs, April 2016) The news media would see this and...
Publication date: Available online 6 November 2019Source: American Journal of OtolaryngologyAuthor(s): Nurullah Seyhun, Senem Kurt Dizdar, Alican Çoktur, Merve Ekici Bektaş, Onuralp Albuz, Zeynep Nur Erol, Suat Turgut
ConclusionDexmedetomidine and midazolam at single minimum dosages had equal effectiveness to prevent ED in children without delaying emergence time, when administered at the end of surgery. With regards to postoperative analgesic efficacy, although dexmedetomidine showed statistically significant higher analgesic effect than midazolam, further clinical investigations are needed to validate our findings.
Adenotonsillar disorders are a frequent complaint in children and adenotonsillectomy is one of the commonest surgical procedures. The two main indications for adenotonsillectomy are recurrent tonsillitis and obstructive sleep apnoea (OSA). Both are associated with significant morbidity. How best to diagnose OSA is currently unclear. Some centres routinely use sleep studies whilst others rely on history alone. Intracapsular subtotal tonsillectomy, as opposed to complete tonsillectomy, is a good choice in OSA.
In this study, 180 patients were randomized to 1 of the 6 groups: bupivacaine infiltration, lidocaine infiltration, normal saline infiltration, bupivacaine packing, lidocaine packing, and normal saline packing. Pain caused by speaking, swallowing, and on rest was assessed using VAS at 4, 8, 12, 16 hours, and at discharge. Results Significant analgesia was obtained in patients who received bupivacaine infiltration and packing compared with placebo (p
CONCLUSION: This study demonstrates the clinical advantage and the simple technique of oral transmucosal DEX premedication for emergence agitation in preschool children undergoing tonsillectomy under sevoflurane anesthesia compared with saline placebo. TRIAL REGISTRATION: Clinical Trials.gov trial registry: NCT02720705. PMID: 31672419 [PubMed - as supplied by publisher]
Rationale: Human papillomavirus (HPV)-related oropharyngeal cancer is becoming more common, the primary cancer AQ4 usually occult and appearing only as cystic cervical lymph node (LN) metastasis. Distinguishing between a benign cystic lesion and cystic LN metastasis is challenging given their similar radiologic and histologic appearances. Patient concerns: A 54-year-old man presented with a bulging cystic mass measuring 6.4cm on the right side of neck. Diagnoses: Postexcision diagnosis was second branchial cleft cyst. After 2 years, the cystic mass recurred, and HPV-related tonsillar squamous cell carcinoma with cy...