International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2013
Quantitative assessment of pulmonary aspiration: A novel porcine model.
Pulmonary aspiration is a common cause of ventilator-associated pneumonia in the intensive care setting. Current bench and animal models of aspiration are based on the qualitative assessments. The purpose of the present study was to develop a porcine model for the real-time quantitative assessment of aspiration. ⋯ This porcine model allows for the continuous quantitative assessment of aspiration over time. Such a model may be of value for the evaluation of techniques for reducing aspiration.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2013
Randomized Controlled Trial Comparative StudyThe comparison of preincisional peritonsillar infiltration of ketamine and tramadol for postoperative pain relief on children following adenotonsillectomy.
To investigate and compare the effectiveness of preincisional peritonsillar infiltration of ketamine and tramadol for post-operative pain on children following adenotonsillectomy. ⋯ Preincisional injection of ketamine and tramadol prior to tonsillectomy is safe, effective method and equivalent for post-tonsillectomy pain, patient satisfaction, postoperative nausea, vomiting, dysphagia.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2013
Randomized Controlled Trial Comparative StudyRopivacaine plus dexamethasone infiltration reduces postoperative pain after tonsillectomy and adenoidectomy.
To compare the effect of ropivacaine plus dexamethasone and ropivacaine alone as infiltration anesthesia on postoperative pain, nausea and vomiting, and oral intake in children after tonsillectomy and adenoidectomy. ⋯ Ropivacaine plus dexamethasone infiltration effectively lowers pain, improves oral intake, lowers postoperative nausea and vomiting, and decreases the time to discharge.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2013
Comparative StudyQuestionnaire OSA-18 has poor validity compared to polysomnography in pediatric obstructive sleep apnea.
To evaluate the diagnostic value of the quality-of-life instrument OSA-18 by comparing it with objective data from polysomnography in children with sleep-disordered breathing. ⋯ The OSA-18 questionnaire showed poor validity in detecting and predicting pediatric OSA. The majority of the children with severe OSA would not be correctly diagnosed if the OSA-18 were used as a dominant diagnostic tool.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2013
Comparative StudyEffect of tracheostomy timing in premature infants.
To examine if timing of tracheostomy placement in premature infants affects the rates of decannulation and length of time required for mechanical ventilatory support. ⋯ Decisions regarding tracheostomy placement should be individualized. We were unable to detect a relationship between tracheostomy timing and the ability or duration for premature infants with chronic lung disease of prematurity to wean from mechanical ventilator support or successfully decannulate.