International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2011
Are randomised controlled trials involving adenotonsillectomy well reported?
Evidence-based medicine guides clinical practice. Currently, the evidence base on adenotonsillectomy is under scrutiny to establish clinical guidelines. It is therefore important that reports of clinical trials are of high quality. Guidance on reporting of randomised controlled trials (RCTs) are available in the Consolidated Standards for Reporting Trials (CONSORT) statement first published in 1996 and revised in 2001 and 2010. ⋯ This review shows the quality of reporting needs to be improved. Critical appraisal of poorly reported trials may result in erroneous conclusions, even though these trials may have been carried out with rigorous adherence to a protocol of high standard. Authors of clinical trial reports should be encouraged to consult the CONSORT statement.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2011
Case ReportsDistal airway foreign bodies: Importance of a stepwise approach, knowledge of equipment and utilization of other services' expertise.
Many distal airway foreign bodies present as obstructive atelectasis and may be removed using instruments passed through rigid bronchoscopes. Deeply impacted distal foreign bodies remain problematic and sometimes require thoracotomy. The purpose of this paper is to discuss alternate approaches to avoid open surgical removal. ⋯ Using fluoroscopy with guide wires through the endotracheal tube, the tooth was removed. Tools used by different services are available as well to retrieve foreign bodies and may obviate the need for thoracotomy. Steroids decreased swelling allowing better access to the foreign body.
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Int. J. Pediatr. Otorhinolaryngol. · Jun 2011
Use of chloral hydrate as a sedative for auditory brainstem response testing in a pediatric population.
Chloral hydrate (CH) is an oral sedative widely used to sedate infants and young children during auditory brainstem response (ABR) testing. The aim of this study was to record effectiveness, complications and safety of CH as a sedative for ABR. ⋯ The use of CH at a dose of 40 mg/kg up to 80 mg/kg is safe and effective when administered in a setting with adequate equipment and the presence of well trained personnel.
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Int. J. Pediatr. Otorhinolaryngol. · Jun 2011
Randomized Controlled Trial Comparative StudyThe effects of desflurane and sevoflurane on the peri- and postoperative bleeding of adenotonsillectomy patients.
To compare the effects of, volatile anesthetics, desflurane and sevoflurane on intra-operative and postoperative bleeding in patients who underwent tonsillectomy and adenoidectomy. ⋯ Desflurane, which is one of the volatile anesthetics, leads to a lower amount of intraoperative bleeding than sevoflurane during tonsillectomy and adenoidectomy operations.
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Int. J. Pediatr. Otorhinolaryngol. · May 2011
Comparative StudyMinimally invasive endoscopic management of subglottic stenosis in children: success and failure.
To assess the efficacy and safety of endoscopic management of subglottic stenosis both as a primary and as an adjunctive treatment in the pediatric population. ⋯ The endoscopic approach can be successful in the management of properly selected patients with subglottic stenosis, either as the initial treatment modality or as an adjunctive treatment in cases of re-stenosis after open airway surgery. The likelihood of success with a minimally invasive procedure as the primary treatment decreases with worsening initial grade of subglottic stenosis.