Renu Devaprasath, Nishal S Perumal, T Jeyanthan, Sunil Richardson
Astrocyte 2016 3(2):78-81
Background and Objectives: Adverse postoperative airway events are a significant problem in infants following primary cheiloplasty. This study aims to describe a simple inexpensive tool which, used prophylactically, can minimize postoperative airway obstruction (POAO). A retrospective cohort analysis was conducted among 314 infants who underwent primary cheiloplasty under general anesthesia at a hospital in Kanyakumari District in Tamil Nadu, India. Materials and Methods: The infants were divided into two cohorts, the first prior to introduction of the modified nasal airway (termed locally as "Rocket" due to its appearance once fixed in position), and the second after its use began in July 2007. The Rocket, consisting of an uncuffed endotracheal tube, 0.5 mm smaller in diameter than that used for intubation, was placed prophylactically prior to extubation in the nasal space of infants considered at risk. The incidence of POAO was compared between the two cohorts. Results: The incidence of POAO in cohort I (N = 86) was 8.1%, which reduced significantly to 0.44% in cohort II (N = 228) where the Rocket was used prophylactically prior to extubation. Interpretations and Conclusions: The prophylactic use of the Rocket minimized the occurrence of POAO following primary cheiloplasty in infants with cleft lip ± cleft palate ± cleft alveolus. The Rocket may be a costeffective solution to prevent POAO in infants undergoing these procedures, particularly in challenging and rural circumstances, where access to short-acting agents and customized airways may be limited.
from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2iOUvGh
via IFTTT
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Publication date: Available online 4 January 2018 Source: European Journal of Radiology Author(s): Peiyao Zhang, Jing Wang, Qin Xu, Zhen...
-
BACKGROUND AND PURPOSE: Lesion load is a common biomarker in multiple sclerosis, yet it has historically shown modest association with cl...
-
Does CBD Oil Lower Blood Pressure? This article was originally published at SundayScaries." Madeline Taylor POSTED ON January 13, 20...
-
Despite widespread journal endorsement of reporting guidelines, the poor reproducibility of preclinical research is increasingly under debat...
-
The benefit of the breastfeeding has been well-established. In comparison to partial breast feeding, exclusive breastfeeding has even more b...
-
A report of the Cold Spring Harbor Laboratory/Wellcome Trust Meeting on Engineering Principles in Biology, Cambridge, UK, 14-16 October 2009...
-
Abstract We report here a microscopic tight-binding theoretical study of the dynamic dielectric response of graphene-on-polarizable substr...
-
Volumetry measurement of lung nodules is gaining clinical acceptance but still... Read more on AuntMinnieEurope.com Related Reading: Ul...
-
Background Hyperthyroidism is associated with increased thrombotic risk. As contact system activation through formation of neutrophil extrac...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου