Clinical prediction models for the early diagnosis of obstructive sleep apnea in stroke patients: a systematic review
ConclusionAlthough clinical prediction models have shown the potential for diagnosing OSA in stroke patients, their limited accuracy and high risk of bias restrict their implications. Future studies should focus on developing advanced algorithms that incorporate more predictors from larger and representative samples and externally validating their performance to enhance their clinical applicability and accuracy. (Source: Systematic Reviews)
Source: Systematic Reviews - January 24, 2024 Category: International Medicine & Public Health Source Type: research

Analysis of the Clinical Course of Children With Initial Negative Polysomnography
CONCLUSION: A significant minority of children who initially tested negative for pediatric obstructive sleep apnea met criteria for diagnosis on follow up PSG. Additionally, other children with initial negative PSG underwent adenotonsillectomy for worsening symptoms in lieu of repeat testing. Patients should be educated that snoring in children could persist or worsen over time, even in the setting of a initial negative PSG.PMID:38251665 | DOI:10.1177/00034894241227038 (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - January 22, 2024 Category: ENT & OMF Authors: Arman Maqsudlu Ajay S Nathan Elizabeth J Silber David O Danis Jessica R Levi Source Type: research

Inflammatory Rhabdomyoblastic Tumor of the Posterior Pharyngeal Wall
This case report describes a healthy man in his 40s who presented with a 1-year history of snoring, sleep apnea, dysphonia, and dysphagia owing to a a large mass of the posterior pharynx and was diagnosed with an inflammatory rhabdomyoblastic tumor. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - January 18, 2024 Category: ENT & OMF Source Type: research

Ventricular Tachycardia Following Ephedrine During Dexmedetomidine Dental Procedural Sedation
We present the case of a 46-year-old man who received ephedrine for hypotension after surgery for a mandibular lesion under intravenous (IV) moderate sedation with dexmedetomidine (DEX) and experienced transient ventricular tachycardia (VT). The patient was scheduled to have cystectomy and multiple apicoectomies for the mandibular periapical infection and the simple bone cyst. Other than obesity, snoring, and a nonalcoholic fatty liver, he denied any other significant medical history, medications, or allergies. The surgery was successful; however, his blood pressure dropped after stopping the DEX infusion. Ephedrine was ad...
Source: Anesthesia Progress - January 15, 2024 Category: Anesthesiology Authors: Shota Abe Kanami Suzuki Maki Hamamura Takashi Tamanoi Koji Takahashi Keiichiro Wakamatsu Kenji Yoshida Hiroyoshi Kawaai Shinya Yamazaki Source Type: research