Acta oto-laryngologica
-
Acta oto-laryngologica · Dec 2012
Management of difficult suspension laryngoscopy using a GlideScope® Video Laryngoscope.
The GlideScope® Video Laryngoscope (GVL) provides a successful method for obtaining adequate visualization of the larynx in patients with difficult laryngeal exposure (DLE). Although the GVL is far from an ideal laryngoscope for laryngeal surgery because of its low image quality and narrow curved operation space, valuable concepts regarding its development can be used for designing a new laryngoscope specifically for otolaryngology. ⋯ Using the GVL, full visualization of the larynx was obtained in all patients with minimal need for excessive internal or external pressure. Manipulations to remove simple lesions or perform a biopsy were carried out successfully. All of the surgeries were completed with excellent visualization and without any major complications.
-
Acta oto-laryngologica · Dec 2012
WHO Surgical Safety Checklist in otorhinolaryngology-head and neck surgery: specialty-related aspects of check items.
The WHO surgical checklist is well suited to otorhinolaryngology-head and neck surgery (ORL-HNS) and the users are satisfied with its content. ⋯ In all, 101 responses were received from OR staff; the response rate was 95.3%. The users were mainly satisfied with the checklist's content for ORL-HNS operations. Mean scores of the importance of check items varied from 4.08 to 4.89 on a five-point scale. The item 'Allergy' had the highest score and 'Team members introduced' the lowest. A need to modify the checklist for in-hospital patients did not emerge. However, a more compact checklist for outpatient surgery carried out under local anaesthesia was suggested.