Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · May 2014
Vocal cord paralysis and Dysphagia after aortic arch reconstruction and Norwood procedure.
To determine the incidence of vocal cord (VC) paralysis and dysphagia after aortic arch reconstruction, including the Norwood procedure. ⋯ There is high incidence of UVCP and dysphagia after Norwood and arch reconstruction. Dysphagia was highly prevalent in both groups even without UVCP. Preoperative discussion on vocal cord function and dysphagia should be considered.
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Otolaryngol Head Neck Surg · May 2014
Randomized Controlled Trial Comparative StudyDifficult airway management for novice physicians: a randomized trial comparing direct and video-assisted laryngoscopy.
To detect a difference in (1) intubation success and (2) successful intubation times between novice physicians using a Macintosh-style or video-assisted laryngoscope on a difficult airway manikin. ⋯ Novice physicians with little to no prior intubation experience showed significantly higher intubation success with lower intubation times using a video-assisted laryngoscope in a difficult airway manikin simulator.
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Otolaryngol Head Neck Surg · May 2014
Multicenter StudyDexamethasone and risk of bleeding in children undergoing tonsillectomy.
To determine whether dexamethasone use in children undergoing tonsillectomy is associated with increased risk of postoperative bleeding. ⋯ In a real-world practice setting, dexamethasone use was associated with a small absolute increased risk of revisits for bleeding. However, the upper bound of this risk increase does not cross published thresholds for a minimal clinically important difference. Given the benefits of dexamethasone in reducing postoperative nausea and vomiting and the larger body of evidence from trials, these results support guideline recommendations for the routine use of dexamethasone.