{"title":"Erratum: Prevalence of Cervical Spondylosis among Cases with Vertigo in a Tertiary Care Center","authors":"P. S., Raghvi A., R. V., N. B., R. S","doi":"10.1055/s-0042-1760199","DOIUrl":"https://doi.org/10.1055/s-0042-1760199","url":null,"abstract":"","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"53 1","pages":"e1 - e1"},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78601684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-16DOI: 10.32457/ijmss.v9i4.2005
Ashiria Reseda Acuña Ramírez, Raúl Tornaco, Carlos Mena Canata
Pólipo coanal es el término utilizado para una masa de tejido blando, solitaria y benigna que se extiende hacia la unión de la cavidad nasal y la nasofaringe; es decir, la coana. Los pólipos coanales nasales se presentan típicamente en tres formas diferentes: pólipos antrocoanales, esfenocoanales y etmoidocoanales. Sitios atípicos de origen han sido reportados en la literatura; por ejemplo, el tabique nasal y el cornete inferior. El conocimiento de los médicos sobre la existencia de pólipos coanales de sitios inusuales puede ayudar en el diagnóstico de los mismos, considerando crucial descartar previamente otros potenciales diagnósticos para estos casos de presentación atípica. A continuación reportamos el caso de un pólipo inflamatorio de inserción en techo de fosa nasal en un paciente de 65 años diagnosticado y tratado en nuestro servicio, cuyo caso es el primero reportado en la literatura.
{"title":"Solitary Polyp with Insertion into the Roof of the Nostril","authors":"Ashiria Reseda Acuña Ramírez, Raúl Tornaco, Carlos Mena Canata","doi":"10.32457/ijmss.v9i4.2005","DOIUrl":"https://doi.org/10.32457/ijmss.v9i4.2005","url":null,"abstract":"Pólipo coanal es el término utilizado para una masa de tejido blando, solitaria y benigna que se extiende hacia la unión de la cavidad nasal y la nasofaringe; es decir, la coana. Los pólipos coanales nasales se presentan típicamente en tres formas diferentes: pólipos antrocoanales, esfenocoanales y etmoidocoanales. Sitios atípicos de origen han sido reportados en la literatura; por ejemplo, el tabique nasal y el cornete inferior. El conocimiento de los médicos sobre la existencia de pólipos coanales de sitios inusuales puede ayudar en el diagnóstico de los mismos, considerando crucial descartar previamente otros potenciales diagnósticos para estos casos de presentación atípica. A continuación reportamos el caso de un pólipo inflamatorio de inserción en techo de fosa nasal en un paciente de 65 años diagnosticado y tratado en nuestro servicio, cuyo caso es el primero reportado en la literatura.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82630510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-13DOI: 10.32457/ijmss.v9i4.2000
Juvenal A. Ríos Leal, L. Carreño, C. Morales, Iván Gallegos Méndez
For more than 20 years, immunohistochemistry has represented an auxiliary test of great relevance to support pathological work, however, it should be noted that the pillar of diagnosis continues and will continue to be the classic morphological description based on hematoxylin eosin and the trained eye of the specialist. In neoplastic pathologies, whether benign or malignant, it is becoming increasingly necessary to incorporate new tissue biomarkers that help objectify or confirm the diagnosis of each patient, in order to provide better treatment or a more precise diagnosis about the biological nature of their illness. In this line, there has been intense research in relation to the participation of the Wnt/β-catenin pathway in the development of various types of tumors, including colon adenocarcinoma, some pancreatic neoplasms and even some tumors of mesenchymal origin, as will be seen. in this work. In this context and based on two clinical cases of special interest, we have prepared a brief review of the literature considering the biological aspects of β-catenin, tumors where there is currently a true relative consensus that its immunolabeling offers a real contribution to the confirmation of the entity and finally a limited exposition regarding the future of this biomarker in the pathology discipline.
{"title":"When should the pathologist request immunostaining with β-catenin?: A review of the literature on two cases","authors":"Juvenal A. Ríos Leal, L. Carreño, C. Morales, Iván Gallegos Méndez","doi":"10.32457/ijmss.v9i4.2000","DOIUrl":"https://doi.org/10.32457/ijmss.v9i4.2000","url":null,"abstract":"For more than 20 years, immunohistochemistry has represented an auxiliary test of great relevance to support pathological work, however, it should be noted that the pillar of diagnosis continues and will continue to be the classic morphological description based on hematoxylin eosin and the trained eye of the specialist. In neoplastic pathologies, whether benign or malignant, it is becoming increasingly necessary to incorporate new tissue biomarkers that help objectify or confirm the diagnosis of each patient, in order to provide better treatment or a more precise diagnosis about the biological nature of their illness. In this line, there has been intense research in relation to the participation of the Wnt/β-catenin pathway in the development of various types of tumors, including colon adenocarcinoma, some pancreatic neoplasms and even some tumors of mesenchymal origin, as will be seen. in this work. In this context and based on two clinical cases of special interest, we have prepared a brief review of the literature considering the biological aspects of β-catenin, tumors where there is currently a true relative consensus that its immunolabeling offers a real contribution to the confirmation of the entity and finally a limited exposition regarding the future of this biomarker in the pathology discipline.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80379817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The complications of acute appendicitis have been widely described in the literature; Mesenteric venous thrombosis is a rare manifestation of this pathology corresponding to less than 1% frequency, this can confuse the general surgeon as it coexists with acute appendicitis. We present the case of a 58-year-old male patient, with abdominal pain of 5 days of evolution, with symptoms that are not very specific for the specific diagnosis of appendicitis. Computed tomography of the abdomen was performed with findings of acute appendicitis and mesenteric venous thrombosis with a clot of 11.5 cm. An open appendectomy was performed and anticoagulation was started on hospital discharge
{"title":"Superior Mesenteric Vein Thrombosis as a Complication of Acute Appendicitis: A Rare Entity","authors":"Gustavo Dragustinovis-Hinojosa, Jorge Aurelio Gutiérrez-González, Dario Eduardo Medina-Muñoz","doi":"10.32457/ijmss.v9i4.1953","DOIUrl":"https://doi.org/10.32457/ijmss.v9i4.1953","url":null,"abstract":"The complications of acute appendicitis have been widely described in the literature; Mesenteric venous thrombosis is a rare manifestation of this pathology corresponding to less than 1% frequency, this can confuse the general surgeon as it coexists with acute appendicitis. We present the case of a 58-year-old male patient, with abdominal pain of 5 days of evolution, with symptoms that are not very specific for the specific diagnosis of appendicitis. Computed tomography of the abdomen was performed with findings of acute appendicitis and mesenteric venous thrombosis with a clot of 11.5 cm. An open appendectomy was performed and anticoagulation was started on hospital discharge","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81816167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Varma, J. Lodhi, A. Vidyarthi, Vishnu Jayaprakasan
Background Autologous platelet-rich plasma (PRP), which contains a pool of growth factors, appears to offer an easy solution for delivering multiple growth factors needed for tissue repair. The objective of the study is to compare between single versus three doses of intraarticular platelet-rich plasma injection in the treatment of early osteoarthritis knee joint. Materials and Methods A prospective comparative study was done on 100 patients with early osteoarthritis knee who were randomized into two groups in an alternating fashion—single-dose injection and triple-dose injection groups. PRP (5 mL) obtained by double-spin method was injected per knee and followed up at 1, 3, and 6 months and outcomes measured using WOMAC (Western Ontario and McMaster universities osteoarthritis index) and VAS (visual analog scale) scores. Results VAS scores showed a statistically significant difference in triple-dose group at all follow-ups. In WOMAC, such a difference was observed for stiffness subscore at all the follow-ups, but the pain subscore and total score showed an improvement only at the final follow-up with the functional assessment subscore showing no statistical difference at any follow-ups. Conclusion PRP injection appears to be effective in early symptomatic osteoarthritis with better clinical results using a triple-dose regimen.
自体富血小板血浆(PRP)含有大量的生长因子，似乎为组织修复所需的多种生长因子的输送提供了一种简单的解决方案。本研究的目的是比较单剂量和三剂量关节内富血小板血浆注射治疗早期膝关节骨关节炎的疗效。材料与方法对100例早期膝关节骨关节炎患者进行前瞻性比较研究，随机分为单剂量注射组和三剂量注射组。双旋法获得的PRP (5 mL)每膝注射，于1、3、6个月随访，采用WOMAC (Western Ontario and McMaster university osteoarthritis index)和VAS (visual analogue scale)评分测量结果。结果三剂量组VAS评分差异均有统计学意义。在WOMAC中，僵硬评分在所有随访中均有差异，但疼痛评分和总分仅在最后一次随访中有所改善，功能评估评分在任何随访中均无统计学差异。结论PRP注射液治疗早期症状性骨关节炎疗效显著，三次给药治疗效果较好。
{"title":"Single versus Three Doses of Intraarticular Platelet-Rich Plasma Injection in Treatment of Early Osteoarthritis Knee Joint—A Prospective Comparative Study","authors":"H. Varma, J. Lodhi, A. Vidyarthi, Vishnu Jayaprakasan","doi":"10.1055/s-0042-1757371","DOIUrl":"https://doi.org/10.1055/s-0042-1757371","url":null,"abstract":"\u0000 Background Autologous platelet-rich plasma (PRP), which contains a pool of growth factors, appears to offer an easy solution for delivering multiple growth factors needed for tissue repair. The objective of the study is to compare between single versus three doses of intraarticular platelet-rich plasma injection in the treatment of early osteoarthritis knee joint.\u0000 Materials and Methods A prospective comparative study was done on 100 patients with early osteoarthritis knee who were randomized into two groups in an alternating fashion—single-dose injection and triple-dose injection groups. PRP (5 mL) obtained by double-spin method was injected per knee and followed up at 1, 3, and 6 months and outcomes measured using WOMAC (Western Ontario and McMaster universities osteoarthritis index) and VAS (visual analog scale) scores.\u0000 Results VAS scores showed a statistically significant difference in triple-dose group at all follow-ups. In WOMAC, such a difference was observed for stiffness subscore at all the follow-ups, but the pain subscore and total score showed an improvement only at the final follow-up with the functional assessment subscore showing no statistical difference at any follow-ups.\u0000 Conclusion PRP injection appears to be effective in early symptomatic osteoarthritis with better clinical results using a triple-dose regimen.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"171 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84795524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim The aim of this study was to assess the compliance of sepsis management as per standard guidelines and intervention as per surviving sepsis criteria hour bundle and to assess bedside screening for sepsis by comparative analysis of two standard methods (systemic inflammatory response syndrome [SIRS] and quick sequential organ failure assessment [qSOFA]). Methodology A single-center review on 53 patients conceded through emergency department (ED) with sepsis as a finding during the period from July 2020 to December 2020. A benchmark group was utilized for relative investigation. Significant information was collected for examination from the electronic records and from the clinical records. Results ED showed great consistency in triaging septic patients and in starting time-basic administration of patients whenever sepsis is perceived. The SIRS rules ordered 39 patients as septic with 73.5% affectability and particularity of 66%, while qSOFA characterized just five patients as septic with 9.3% affectability and explicitness of 92%. Conclusion The ED had great consistency in triaging patients by recording their vitals and mental status.• Intercession of patients with sepsis acknowledgment, for example, estimating introductory lactate levels, getting blood culture and sensitivity, administrating intravenous (IV) antimicrobials, IV liquids, and vasopressors when required and once again estimating lactate showed consistency according to standard rules• In view of the review investigation of septic patients, qSOFA performs ineffectively in contrast with SIRS as an underlying indicative instrument for patients introduced to ED who might have sepsis.
{"title":"Audit on Sepsis Management","authors":"Jerin Mathew Varghese","doi":"10.1055/s-0042-1744547","DOIUrl":"https://doi.org/10.1055/s-0042-1744547","url":null,"abstract":"\u0000 Aim The aim of this study was to assess the compliance of sepsis management as per standard guidelines and intervention as per surviving sepsis criteria hour bundle and to assess bedside screening for sepsis by comparative analysis of two standard methods (systemic inflammatory response syndrome [SIRS] and quick sequential organ failure assessment [qSOFA]).\u0000 Methodology A single-center review on 53 patients conceded through emergency department (ED) with sepsis as a finding during the period from July 2020 to December 2020. A benchmark group was utilized for relative investigation. Significant information was collected for examination from the electronic records and from the clinical records.\u0000 Results ED showed great consistency in triaging septic patients and in starting time-basic administration of patients whenever sepsis is perceived. The SIRS rules ordered 39 patients as septic with 73.5% affectability and particularity of 66%, while qSOFA characterized just five patients as septic with 9.3% affectability and explicitness of 92%.\u0000 Conclusion The ED had great consistency in triaging patients by recording their vitals and mental status.• Intercession of patients with sepsis acknowledgment, for example, estimating introductory lactate levels, getting blood culture and sensitivity, administrating intravenous (IV) antimicrobials, IV liquids, and vasopressors when required and once again estimating lactate showed consistency according to standard rules• In view of the review investigation of septic patients, qSOFA performs ineffectively in contrast with SIRS as an underlying indicative instrument for patients introduced to ED who might have sepsis.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90615182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prabhu Ethiraj, Sagar Venkataraman, A. Shanthappa, Sandesh Agrawal
Background Medial malleolus fracture is commonly seen nowadays in orthopaedic practice. There are different modalities of treatment based on fracture pattern and socioeconomic status. Undisplaced fracture can be managed by cast application. Various surgical modalities of treatment are available in treating medial malleolus fracture like tension band wiring, cancellous screw or cortical screw fixation, plate fixation, Kirschner wire, and suture anchors. The purpose of our study was to evaluate radiological outcome of medial malleolus fracture managed with open reduction internal fixation and closed reduction percutaneous fixation. Materials and Methods Our study included 67 patients who met inclusion criteria and were divided into two groups. Group 1 included 52 patients with medial malleolar fractures cases and were treated with open reduction and internal fixation either by cancellous screw fixation or tension band wiring. Other 15 patients in group 2 were treated by closed reduction and internal fixation with cannulated cancellous screw. All postoperative patients were evaluated at 1st month, 2nd month, 3rd month, 6th month, and 1 year. We evaluated patient clinically and radiological union of fractures. Results In our study out of 67 patients there was male preponderance and average age was 46.55 years. Right-side fractures were more compared with left-side fractures. Most common mode of injury was road traffic accident. Transverse fracture pattern was more in number in our study. Average union time in group 1 was 13.46 weeks and group 2 is 15.14 weeks. Fracture union was 96.15% in group 1 and in group 2 was 93.33%. Conclusion In our study, average radiological union time in patients treated with open reduction internal fixation was early compared with percutaneous fixation. This could be due to direct visualization of fracture site and good approximation of fracture fragments in open reduction internal fixation technique.
{"title":"Medial Malleolar Fracture Management—A Comparative Study of Radiological Outcome between Open Reduction Internal Fixation and Closed Reduction Percutaneous Fixation","authors":"Prabhu Ethiraj, Sagar Venkataraman, A. Shanthappa, Sandesh Agrawal","doi":"10.1055/s-0042-1751083","DOIUrl":"https://doi.org/10.1055/s-0042-1751083","url":null,"abstract":"\u0000 Background Medial malleolus fracture is commonly seen nowadays in orthopaedic practice. There are different modalities of treatment based on fracture pattern and socioeconomic status. Undisplaced fracture can be managed by cast application. Various surgical modalities of treatment are available in treating medial malleolus fracture like tension band wiring, cancellous screw or cortical screw fixation, plate fixation, Kirschner wire, and suture anchors. The purpose of our study was to evaluate radiological outcome of medial malleolus fracture managed with open reduction internal fixation and closed reduction percutaneous fixation.\u0000 Materials and Methods Our study included 67 patients who met inclusion criteria and were divided into two groups. Group 1 included 52 patients with medial malleolar fractures cases and were treated with open reduction and internal fixation either by cancellous screw fixation or tension band wiring. Other 15 patients in group 2 were treated by closed reduction and internal fixation with cannulated cancellous screw. All postoperative patients were evaluated at 1st month, 2nd month, 3rd month, 6th month, and 1 year. We evaluated patient clinically and radiological union of fractures.\u0000 Results In our study out of 67 patients there was male preponderance and average age was 46.55 years. Right-side fractures were more compared with left-side fractures. Most common mode of injury was road traffic accident. Transverse fracture pattern was more in number in our study. Average union time in group 1 was 13.46 weeks and group 2 is 15.14 weeks. Fracture union was 96.15% in group 1 and in group 2 was 93.33%.\u0000 Conclusion In our study, average radiological union time in patients treated with open reduction internal fixation was early compared with percutaneous fixation. This could be due to direct visualization of fracture site and good approximation of fracture fragments in open reduction internal fixation technique.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88989053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Several factors associated with poor outcome in perforated peptic ulcer have been identified: delay in diagnosis, coexistent medical illness, shock on admission, leukocytosis, and old age. Such factors increase morbidity and mortality in perforated peptic ulcer disease. Careful resuscitation and perioperative optimization play a significant role in reducing morbidity and mortality associated with perforated peptic ulcer disease. Methods A prospective study of 60 cases who were operated for perforated peptic ulcer was done at Sheth L.G. Municipal General Hospital affiliated with AMCMET Medical College & Research Centre, Ahmedabad. Categorization of these patients was done according to Boey score and their outcome was accessed. Objective The aim of this study was to appraise and analyze Boey score in operated cases of perforated ulcer disease. Results The morbidity and mortality rate in this study were 31.67% and 11.67%, respectively. The morbidity rate increased gradually with increase in Boey score: 8.69, 36.84, 50, and 62.5% for 0, 1, 2, and 3 score, respectively (p < 0.01). The mortality rate was increased progressively with increasing Boey score: 0, 5.26, 30, and 37.5% for 0, 1, 2, and 3 score, respectively, and this relationship was statistically significant (p-value < 0.01). The mean duration of hospital stay was 9.43 ± 4.10 days and p-value was less than 0.001. The area under curve in receiver-operating characteristic curve analysis was 0.854 and 0.751 for mortality and morbidity, respectively. Conclusion Boey score is simple, clinically relevant and can precisely predict postoperative morbidity and mortality and the length of hospital stay.
{"title":"A Study on Liaison between Boey Score and Perforated Peptic Ulcer in View of Postoperative Morbidity and Mortality","authors":"J. Shah, Jatin Modi","doi":"10.1055/s-0042-1751084","DOIUrl":"https://doi.org/10.1055/s-0042-1751084","url":null,"abstract":"\u0000 Introduction Several factors associated with poor outcome in perforated peptic ulcer have been identified: delay in diagnosis, coexistent medical illness, shock on admission, leukocytosis, and old age. Such factors increase morbidity and mortality in perforated peptic ulcer disease. Careful resuscitation and perioperative optimization play a significant role in reducing morbidity and mortality associated with perforated peptic ulcer disease.\u0000 Methods A prospective study of 60 cases who were operated for perforated peptic ulcer was done at Sheth L.G. Municipal General Hospital affiliated with AMCMET Medical College & Research Centre, Ahmedabad. Categorization of these patients was done according to Boey score and their outcome was accessed.\u0000 Objective The aim of this study was to appraise and analyze Boey score in operated cases of perforated ulcer disease.\u0000 Results The morbidity and mortality rate in this study were 31.67% and 11.67%, respectively. The morbidity rate increased gradually with increase in Boey score: 8.69, 36.84, 50, and 62.5% for 0, 1, 2, and 3 score, respectively (p < 0.01). The mortality rate was increased progressively with increasing Boey score: 0, 5.26, 30, and 37.5% for 0, 1, 2, and 3 score, respectively, and this relationship was statistically significant (p-value < 0.01). The mean duration of hospital stay was 9.43 ± 4.10 days and p-value was less than 0.001. The area under curve in receiver-operating characteristic curve analysis was 0.854 and 0.751 for mortality and morbidity, respectively.\u0000 Conclusion Boey score is simple, clinically relevant and can precisely predict postoperative morbidity and mortality and the length of hospital stay.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87605895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vishwanath Ankad, Manjunatha Chandrashekar, Sahana Hiremath, Geetha S. Hasaraddi, Ramesh B. Babu
Background The study was conducted with the aim of determining the usefulness of ultrasonography in assessment of difficult airway preoperatively to compare and correlate airway assessment done clinically and airway viewed ultra sonographically with Cormack–Lehane classification of the direct laryngoscopy. Methodology This prospective, observational trial consists of total 150 patients undergoing elective surgeries under general anesthesia. The measurements recorded were interincisor gap, modified Mallampati's classification, and thyromental distance and the airway assessment of ultrasound done. Based on the Cormack–Lehane classification of laryngoscopic view, patients were classified into different groups: group A—easy intubation and group B—difficult intubation, at the end of the study. Results In both the groups, demographic data were similar except weight, which was significant in group B. Ultrasound measurements of airway done at four levels—hyoid bone, suprasternal-notch, thyroid isthmus, and thyroid—were increased in group B compared with group A, with p-values 0.0002, 0.0001, 0.001, and 0.0001, respectively, showing significant results. Conclusion On the basis of our study, we conclude that by measuring the thickness of soft tissues in the anterior part of neck with ultrasound difficult airway can be predicted, thus ultrasound can be used for assessing difficult airway preoperatively.
{"title":"Perioperative Assessment of Difficult Airway Using Ultrasound—A Prospective Study","authors":"Vishwanath Ankad, Manjunatha Chandrashekar, Sahana Hiremath, Geetha S. Hasaraddi, Ramesh B. Babu","doi":"10.1055/s-0042-1749324","DOIUrl":"https://doi.org/10.1055/s-0042-1749324","url":null,"abstract":"\u0000 Background The study was conducted with the aim of determining the usefulness of ultrasonography in assessment of difficult airway preoperatively to compare and correlate airway assessment done clinically and airway viewed ultra sonographically with Cormack–Lehane classification of the direct laryngoscopy.\u0000 Methodology This prospective, observational trial consists of total 150 patients undergoing elective surgeries under general anesthesia. The measurements recorded were interincisor gap, modified Mallampati's classification, and thyromental distance and the airway assessment of ultrasound done. Based on the Cormack–Lehane classification of laryngoscopic view, patients were classified into different groups: group A—easy intubation and group B—difficult intubation, at the end of the study.\u0000 Results In both the groups, demographic data were similar except weight, which was significant in group B. Ultrasound measurements of airway done at four levels—hyoid bone, suprasternal-notch, thyroid isthmus, and thyroid—were increased in group B compared with group A, with p-values 0.0002, 0.0001, 0.001, and 0.0001, respectively, showing significant results.\u0000 Conclusion On the basis of our study, we conclude that by measuring the thickness of soft tissues in the anterior part of neck with ultrasound difficult airway can be predicted, thus ultrasound can be used for assessing difficult airway preoperatively.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86814095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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