International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2012
Difficult pediatric airway management using the intubating laryngeal airway.
To evaluate the intubating laryngeal airway (ILA) in providing safe endotracheal intubation in pediatric patients with difficult airway; to describe a method for using flexible fiberoptic bronchoscopy with the ILA for evaluating the pediatric airway. ⋯ ILA and fiberoptic-guided tracheal intubation is a safe and effective method for securing the airway in pediatric patients with difficult airway and can be a useful alternative to direct laryngoscopy when laryngeal exposure is suboptimal.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2012
Case ReportsFractured tracheostomy tube as foreign body bronchus: our experience with three cases.
Tracheostomy tubes are extensively used in paediatric age group for airway issues. Their fracture and lodgement into trachea is an acute emergency requiring urgent intervention. ⋯ Immediate identification is the key to successful management of this rare but life threatening situation. In the presence of tracheal stenosis above the tracheostomy opening, situation becomes more dangerous with very limited options for management.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2012
Randomized Controlled TrialTranexamic acid in adenotonsillectomy in children: a double-blind randomized clinical trial.
Adenotonsillectomy is one of the most common surgical procedures in pediatric otolaryngology, in which bleeding is a potential complication. We evaluated the efficacy of intravenous tranexamic acid in reducing intraoperative bleeding volume, and bleeding in the following 10 postoperative days in children who underwent adenotonsillectomy. ⋯ There is no benefit in the use of tranexamic acid for reducing bleeding during the transoperative period of adenotonsillectomy in children. More studies with a greater sample are required to evaluate the benefit of tranexamic acid in postoperative bleeding.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2012
Randomized Controlled TrialVasoconstrictive and analgesic efficacy of locally infiltrated levobupivacaine in tonsillectomy patients.
The use of preincisional plain levobupivacaine, lidocaine adrenaline and saline for perioperative blood loss and postoperative analgesia in pediatric tonsillectomy patients are compared. ⋯ Levobupivacaine has a vasoconstrictive effect in 0.25% concentrations that may be beneficial in tonsillectomy patients and has a consistent analgesic effect.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2012
Pott's puffy tumor in pediatric age group: a retrospective study.
To study the etiology, clinical features and treatment outcomes of pediatric Pott's puffy tumor (PPT). ⋯ PPT is a complicated infection of frontal sinusitis and trauma that requires broad spectrum antibiotics and surgical treatment. Diagnosis is made by high clinical suspicion of this condition and confirmed by CECT. Early treatment results in favorable outcomes and decreases the risk of further complications.