Although traditional arrow injuries are relatively rare nowadays, we occasionally come across such injuries being reported from remote areas. With the increase in recreational activities with modern arrows in the contemporary era, we should expect arrow injuries even in the urban population. Arrow injuries are managed in a similar manner to other penetrating injuries. Although arrow injuries in different parts of the body have been reported, arrow injury through the floor of the mouth is relatively rare. We describe a case of arrow injury where the arrow entered the floor of the mouth and emerged through the side of the neck posing difficulty in positioning, ventilation and intubation. Proximity to important structures in the neck also contributed to the rarity of this presentation.
{"title":"Arrow injury through the floor of the mouth – How to proceed","authors":"P. Dammalapati, C. Dasgupta, Soumi Das","doi":"10.4103/arwy.arwy_60_21","DOIUrl":"https://doi.org/10.4103/arwy.arwy_60_21","url":null,"abstract":"Although traditional arrow injuries are relatively rare nowadays, we occasionally come across such injuries being reported from remote areas. With the increase in recreational activities with modern arrows in the contemporary era, we should expect arrow injuries even in the urban population. Arrow injuries are managed in a similar manner to other penetrating injuries. Although arrow injuries in different parts of the body have been reported, arrow injury through the floor of the mouth is relatively rare. We describe a case of arrow injury where the arrow entered the floor of the mouth and emerged through the side of the neck posing difficulty in positioning, ventilation and intubation. Proximity to important structures in the neck also contributed to the rarity of this presentation.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"23 1","pages":"50 - 53"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82183562","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: Endoscopic procedures are usually performed under monitored anaesthesia care. Hypoxia could occur due to the sedative effects of drugs used during flexible endoscopic procedures and sharing of airway between endoscopist and anaesthesiologist. Administration of oxygen could reduce the incidence of hypoxia. Aims and Objectives: We aimed to study whether delivery of oxygen through nasal prongs or through a T-piece without an after-burner connected to a nasopharyngeal airway could reduce the incidence of hypoxia during monitored anaesthesia care for flexible endoscopic procedures. While our primary objective was to compare the incidence of hypoxia (oxygen saturation [SpO2] < 90% lasting for at least 15 s), our secondary objectives were to compare the level of sedation and incidence of adverse events. Patients and Methods: Sixty six patients (33 in each group) aged between 18 and 80 years were randomly allocated to one of two groups to receive oxygen through nasal prongs or through a T-piece without an after-burner connected to a nasopharyngeal airway. Drug requirement, SpO2 and adverse events were monitored pre-procedure and every 5 min thereafter till the end of the procedure. Results: There was no statistically significant difference in the mean SpO2 (P > 0.05), but the incidence of hypoxia was less in patients receiving oxygen through nasal prongs as compared to patients receiving oxygen through a T-piece without an after-burner connected to a nasopharyngeal airway (P < 0.05). Adverse events were found to be comparable between two groups. Conclusion: During flexible endoscopy under monitored anaesthesia care, oxygen delivery through nasal prongs results in a lower incidence of hypoxia as compared to oxygen delivery through a T-piece without an after-burner connected to a nasopharyngeal airway.
{"title":"Comparison of oxygen delivery methods during monitored anaesthesia care for flexible endoscopy procedures","authors":"Shivangi Agrawal, B. Khara","doi":"10.4103/arwy.arwy_61_21","DOIUrl":"https://doi.org/10.4103/arwy.arwy_61_21","url":null,"abstract":"Introduction: Endoscopic procedures are usually performed under monitored anaesthesia care. Hypoxia could occur due to the sedative effects of drugs used during flexible endoscopic procedures and sharing of airway between endoscopist and anaesthesiologist. Administration of oxygen could reduce the incidence of hypoxia. Aims and Objectives: We aimed to study whether delivery of oxygen through nasal prongs or through a T-piece without an after-burner connected to a nasopharyngeal airway could reduce the incidence of hypoxia during monitored anaesthesia care for flexible endoscopic procedures. While our primary objective was to compare the incidence of hypoxia (oxygen saturation [SpO2] < 90% lasting for at least 15 s), our secondary objectives were to compare the level of sedation and incidence of adverse events. Patients and Methods: Sixty six patients (33 in each group) aged between 18 and 80 years were randomly allocated to one of two groups to receive oxygen through nasal prongs or through a T-piece without an after-burner connected to a nasopharyngeal airway. Drug requirement, SpO2 and adverse events were monitored pre-procedure and every 5 min thereafter till the end of the procedure. Results: There was no statistically significant difference in the mean SpO2 (P > 0.05), but the incidence of hypoxia was less in patients receiving oxygen through nasal prongs as compared to patients receiving oxygen through a T-piece without an after-burner connected to a nasopharyngeal airway (P < 0.05). Adverse events were found to be comparable between two groups. Conclusion: During flexible endoscopy under monitored anaesthesia care, oxygen delivery through nasal prongs results in a lower incidence of hypoxia as compared to oxygen delivery through a T-piece without an after-burner connected to a nasopharyngeal airway.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"46 1","pages":"30 - 35"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80857497","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}
Safe patient position is an important aspect of anaesthesia care. Prone position during neurosurgery may be associated with airway oedema or complications such as tongue injuries or swelling. Prevention of such morbidities with proper planning, meticulous positioning, continuous vigilance, early diagnosis and aggressive treatment are crucial. We describe the perioperative events of three patients who presented with tongue-related morbidity following neurosurgical procedures in the prone position where one developed tongue haematoma and other two had macroglossia in the postoperative period. The patient with haematoma was asymptomatic and required no intervention apart from reassurance about the self-resolving nature of haematoma. Two patients with macroglossia were kept intubated, nursed in head-up position and administered intravenous steroids and local antidesiccants. One patient required tracheostomy while the other could be extubated 48 h postoperatively. Vigilance, prompt diagnosis and appropriate management improved overall outcome.
{"title":"Airway challenges posed by tongue injuries following neurosurgical procedures in prone position","authors":"Amruta A. Kulkarni, V. Shetty","doi":"10.4103/arwy.arwy_53_21","DOIUrl":"https://doi.org/10.4103/arwy.arwy_53_21","url":null,"abstract":"Safe patient position is an important aspect of anaesthesia care. Prone position during neurosurgery may be associated with airway oedema or complications such as tongue injuries or swelling. Prevention of such morbidities with proper planning, meticulous positioning, continuous vigilance, early diagnosis and aggressive treatment are crucial. We describe the perioperative events of three patients who presented with tongue-related morbidity following neurosurgical procedures in the prone position where one developed tongue haematoma and other two had macroglossia in the postoperative period. The patient with haematoma was asymptomatic and required no intervention apart from reassurance about the self-resolving nature of haematoma. Two patients with macroglossia were kept intubated, nursed in head-up position and administered intravenous steroids and local antidesiccants. One patient required tracheostomy while the other could be extubated 48 h postoperatively. Vigilance, prompt diagnosis and appropriate management improved overall outcome.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"33 1","pages":"40 - 44"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84406011","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}
Tina Khurana, Rejitha Chandrasekharan, Mohandeep Kaur, Shruti Sharma
Thyroidectomy is one among the most commonly performed endocrine surgeries. Iatrogenic injury of the recurrent laryngeal nerve (RLN) is of major concern in thyroid surgery. We report the case of a 37-year-old female with papillary carcinoma of thyroid posted for total thyroidectomy. Although direct identification of the nerve is considered as the gold standard, we discuss the intraoperative monitoring of RLN using electromyography endotracheal tube and its anaesthetic considerations.
{"title":"Electromyography endotracheal tube – Road to safety for thyroid surgery","authors":"Tina Khurana, Rejitha Chandrasekharan, Mohandeep Kaur, Shruti Sharma","doi":"10.4103/arwy.arwy_3_22","DOIUrl":"https://doi.org/10.4103/arwy.arwy_3_22","url":null,"abstract":"Thyroidectomy is one among the most commonly performed endocrine surgeries. Iatrogenic injury of the recurrent laryngeal nerve (RLN) is of major concern in thyroid surgery. We report the case of a 37-year-old female with papillary carcinoma of thyroid posted for total thyroidectomy. Although direct identification of the nerve is considered as the gold standard, we discuss the intraoperative monitoring of RLN using electromyography endotracheal tube and its anaesthetic considerations.","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"8 1","pages":"54 - 56"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75206284","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 : 2021-09-05DOI: 10.1183/13993003.congress-2021.pa890
Glenn Van Hulst, Joseph Jorssen, N. Jacobs, M. Henket, R. Louis, F. Schleich, F. Bureau, C. Desmet
{"title":"Late Breaking Abstract - Anti-IL-5 mepolizumab minimally influences residual blood eosinophils in severe asthma","authors":"Glenn Van Hulst, Joseph Jorssen, N. Jacobs, M. Henket, R. Louis, F. Schleich, F. Bureau, C. Desmet","doi":"10.1183/13993003.congress-2021.pa890","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.pa890","url":null,"abstract":"","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73876761","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 : 2021-09-05DOI: 10.1183/13993003.congress-2021.pa892
S. Noorduyn, B. Lancaster, A. Gendron, L. Mbuagbaw, E. Penz
{"title":"Late Breaking Abstract - Early response to benralizumab in Canadians with severe eosinophilic asthma","authors":"S. Noorduyn, B. Lancaster, A. Gendron, L. Mbuagbaw, E. Penz","doi":"10.1183/13993003.congress-2021.pa892","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.pa892","url":null,"abstract":"","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73424832","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 : 2021-09-05DOI: 10.1183/13993003.congress-2021.pa3396
S. Baldi, O. Usmani, S. Warren, Ilaria Panni, L. Girardello, F. Rony, G. Taylor, W. D. De Backer, G. Georges
{"title":"Lung deposition and distribution of inhaled extra fine beclomethasone dipropionate / formoterol fumarate /glycopyrronium bromide (BDP/FF/GB) in subjects with and without airflow obstruction","authors":"S. Baldi, O. Usmani, S. Warren, Ilaria Panni, L. Girardello, F. Rony, G. Taylor, W. D. De Backer, G. Georges","doi":"10.1183/13993003.congress-2021.pa3396","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.pa3396","url":null,"abstract":"","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75704863","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 : 2021-09-05DOI: 10.1183/13993003.congress-2021.pa884
Yanan Zheng, Y. Guan, Yuying Gao, Lucy Liu, L. Abuqayyas, A. Hellqvist, K. Bowen, G. Colice, A. Macdonald
{"title":"Population pharmacokinetic and exposure-response analyses to support fixed dosing of tezepelumab in patients with severe asthma","authors":"Yanan Zheng, Y. Guan, Yuying Gao, Lucy Liu, L. Abuqayyas, A. Hellqvist, K. Bowen, G. Colice, A. Macdonald","doi":"10.1183/13993003.congress-2021.pa884","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.pa884","url":null,"abstract":"","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74952374","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 : 2021-09-05DOI: 10.1183/13993003.congress-2021.oa1489
K. Chapman, R. V. van Zyl-Smit, H. Kerstjens, J. Maspero, Motoi Hosoe, A. Tănase, A. Pethe, P. D’Andrea, D. Brittain
{"title":"Evaluating contributions of mometasone (MF), indacaterol (IND) and glycopyrronium (GLY) to reduction of exacerbations in patients with inadequately controlled asthma: Results from the IRIDIUM study","authors":"K. Chapman, R. V. van Zyl-Smit, H. Kerstjens, J. Maspero, Motoi Hosoe, A. Tănase, A. Pethe, P. D’Andrea, D. Brittain","doi":"10.1183/13993003.congress-2021.oa1489","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.oa1489","url":null,"abstract":"","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80906326","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 : 2021-09-05DOI: 10.1183/13993003.congress-2021.pa3388
C. Gessner, R. V. van Zyl-Smit, D. Singh, Huib A.M. Kerstjens, C. Raherison-Semjen, D. Lawrence, A. Pethe, A. Tănase, K. Mezzi, P. D’Andrea
{"title":"Mometasone/indacaterol demonstrates similar efficacy in men and women: pooled analyses of PALLADIUM and IRIDIUM studies","authors":"C. Gessner, R. V. van Zyl-Smit, D. Singh, Huib A.M. Kerstjens, C. Raherison-Semjen, D. Lawrence, A. Pethe, A. Tănase, K. Mezzi, P. D’Andrea","doi":"10.1183/13993003.congress-2021.pa3388","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.pa3388","url":null,"abstract":"","PeriodicalId":7848,"journal":{"name":"Airway Pharmacology and Treatment","volume":"2014 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73314214","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：