Publications by authors named "Viviane Chalhoub"
Introduction: We aim to compare the upper lip bite test with the modified Mallampati test as predictors of difficult laryngoscopy and/or difficult intubation among morbidly obese patients.
Methods: A total of 500 morbidly obese patients (body mass index > 40 kg/m) undergoing general anaesthesia with tracheal intubation are included in this prospective single-blinded observational clinical study. The preoperative airway assessment is obtained by the modified Mallampati test and upper lip bite test.
Purpose: Post-operative pulmonary failure is a major complication of nephrectomy that may lead to severe morbidity and mortality. Hence, we aimed to derive a nephrectomy-specific post-operative respiratory failure index.
Methods: Our cohort was derived from The American College of Surgeons-National Surgical Quality Improvement Program database between 2005 and 2019.
Background: Transurethral resection of the prostate (TURP) under Monitored Anesthesia Care MAC/Sedation (macTURP), as compared with TURP under general (genTURP) or spinal (spTURP) anesthesia, is a safer and infrequently used technique reserved for high-risk patients.
Objectives: The aim of this study is to compare 30-day postoperative outcomes of TURP using the three types of anesthesia techniques.
Design And Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who underwent TURP between 2008 and 2019.
Background: Although new guidelines developed by the American Society of Anesthesiologists (ASA) recommend a liberalized preoperative nutrition, authorized clinical practice guidelines or recommendations have not yet been proposed by the Lebanese Society of Anesthesia (LSA).
Objective: The purpose of this study was to examine Lebanese anesthesiologists' preoperative fasting routines and determine their knowledge and acceptance of the ASA recommendations, their attitude toward liberalized fasting, and the factors favoring their nonadherence to the new recommendations.
Materials And Methods: This study was conducted in university hospitals, affiliated hospitals, and nonuniversity hospitals located in different regions of Lebanon.
Purpose: Inferior vena cava (IVC) filters have been used as an alternative therapy for patients with a contraindication to anticoagulation. We present a case of an IVC filter migration to the right ventricle occurring while a trauma patient was undergoing spinal surgery in the prone position. The patient provided written consent to describe this case.
View Article and Find Full Text PDFContributing Factors to Inferior Vena Cava Filter Migration.
Cardiovasc Intervent Radiol
December 2015
Background: In trauma patients, particularly with head immobilization, tracheal intubation without the use of a stylet may be impossible.
Objectives: To report a very rare but potentially fatal complication that may happen in any Emergency Department: fracture of the plastic sheath of an intubation stylet, reported only twice before in the literature.
Case Report: Two large plastic fragments detached from a stylet while intubating a trauma patient.
Objective: To highlight the possible association of intracranial aneurysm with autosomal recessive polycystic kidney disease.
Design, Setting, And Patient: To our knowledge, this association has been reported only twice in the medical literature. We herein report the case of a 21-year-old man with autosomal recessive polycystic kidney disease, presenting with subarachnoid hemorrhage secondary to a ruptured intracranial aneurysm, at our institution.
Unlabelled: Percutaneous closure of the patent ductus is the gold standard therapy. Our aim was to analyze our failures between 2001 and 2010.
Methods: All patients over 5 kg benefited from a transcatheter attempt at duct closure.
Context: The effect of obesity on surgical outcome is becoming an increasingly relevant issue given the growing rate of obesity worldwide.
Objective: To investigate the specific impact of obesity on pancreaticoduodenectomy.
Design: A retrospective comparative study of a prospectively maintained database was carried out to investigate the specific impact of obesity on the technical aspects and postoperative outcome of pancreaticoduodenectomy.
Background: Laparoscopic mini-gastric bypass (MGB) is being increasingly performed worldwide. Results of MGB by mini-laparotomy (minilap MGB) are hereby reported.
Methods: 126 patients undergoing minilap MGB from October 2004 to October 2006, were reviewed at an academic institution.
The accuracy of non-invasive nasal capnography in morbidly obese patients after bariatric surgery.
Middle East J Anaesthesiol
October 2007
Study Objective: to assess the accuracy of nasal capnography for the monitoring of ventilation in extubated morbidly obese patients, following bariatric surgery.
Design: prospective descriptive study.
Setting: Post-anesthesia care unit.
Background: Despite the initial success of primary gastric restrictive operations, many patients require revision for weight regain, mechanical complications or intolerance to restriction. The mini-gastric bypass (MGB) for revision of failed primary restrictive procedures was evaluated.
Methods: 33 patients undergoing revisional surgery to a MGB for a failed silastic ring vertical banded gastroplasty (VBG) or a gastric banding (GB) from June 2005 to September 2006, were reviewed at an academic institution.
Objectives: The aim of this study was to evaluate and compare the accuracy of the percentage of infected cells (%IC) in bronchoalveolar lavage (BAL) for ventilator-associated pneumonia (VAP) diagnosis according to its onset from the initiation of mechanical ventilation.
Patients: One hundred and eight patients admitted to a surgical ICU were retrospectively included (1999-2001). A total of 171 cases of VAP were diagnosed on clinical, biological, chest X-ray and BAL results (threshold >/=10(4 )cfu/ml).
Study Objectives: To assess the safety and efficacy of ondansetron for prevention of pruritus, nausea and vomiting after cesarean delivery with intrathecal sufentanil-morphine.
Design: Randomized, double-blind, placebo-controlled study.
Setting: Referral center, institutional practice.