Aims: The aim of this study was to evaluate the usability and safety of the Explorer Endoscopy Mask(®) (EM) as an alternative to endotracheal intubation in children undergoing elective esogastroduodenoscopy (EGD) under general anesthesia (GA).
Methods: This study was a retrospective observational study. The study was undertaken at the pediatric digestive endoscopy suite in the Cliniques universitaires Saint-Luc, Brussels, Belgium. We retrospectively analyzed the occurrence of minor and major airway-related adverse effects during pediatric EGD procedures performed under GA with the EM between June 2014 and March 2015.
Results: During the study period, 173 patients underwent EGD. Their mean age was 8.4 years (median: 9.1 years, range 4 months to 16 years). Mean duration of endoscopy (from insertion to removal of the endoscope) was 12.6 min (median: 12 min, range 3-47 min). The use of EM was uneventful in 159 (92%) cases. There were 24 airway-related adverse events in 14 children. Hypoxemia (SpO2 <90%) (13 events, 7.5%) was the most commonly encountered complication followed by laryngo- or bronchospasm (five events, 2.89%), cough (five events, 2.89%), and intubation (one event, 0.58%). No cases of regurgitation/aspiration were observed.
Conclusions: Our data support the EM use in pediatric EGD. There were few transient respiratory adverse events which were easily solved with minor interventions.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/pan.12910 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Electrocardiographic deep learning for predicting post-procedural mortality: a model development and validation study.
Lancet Digit Health
January 2024
Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Article Synopsis
- Existing preoperative risk assessments are inadequate at predicting postoperative mortality, but deep-learning analysis of ECGs can highlight hidden risk factors.
- A deep-learning algorithm was developed using ECG data from nearly 46,000 patients to more accurately forecast postoperative mortality, and its performance was compared to the Revised Cardiac Risk Index (RCRI).
- In testing, the algorithm achieved an AUC of 0.83, significantly outperforming the RCRI score (AUC of 0.67), indicating its effectiveness across multiple health-care systems.
Cervical ultrasound for the evaluation of the vocal cords: A pilot study in an endocrine surgery unit.
Cir Esp (Engl Ed)
December 2022
Unidad de Cirugía Endocrina, Servicio de Cirugía General y Digestiva, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.
Introduction: Cervical ultrasound (CE) has emerged as a promising tool in recent years for vocal cord (VC) assessment in patients undergoing thyroid surgery. Our aim is to assess the reliability of CE once implemented in an endocrine surgery unit and performed by the surgeons themselves.
Material And Method: 86 participants with no history of laryngeal pathology or cervical surgery underwent CE by three independent endocrine surgeons.
Eye Explorer: A robotic endoscope holder for eye surgery.
Int J Med Robot
February 2021
Institute of Innovation Research, Tokyo Institute of Technology, Yokohama-shi, Japan.
Background: Holding endoscopes by hand when performing eye surgery reduces the dexterity of the surgeon.
Methods: A robotic endoscope holder called "Eye Explorer" is proposed to hold the endoscope and free the surgeon's hand.
Results: This device satisfies the engineering and clinical requirements of eye surgery.
Device-assisted enteroscopy training. A rapid review.
Rev Esp Enferm Dig
April 2020
Anatomía y Anatomía Patológica Comparadas , Facultad de Veterinaria. Universidad de Murcia, ESPAÑA.
Device-assisted enteroscopy is currently lacking a validated training model, in contrast to the other major technique used for the study of the small bowel, namely capsule endoscopy. Training should be based on defining and achieving competency for the acquisition of the knowledge and skills required to perform enteroscopy in a safe and effective manner. The need for training is clear, since the technique is considered an advanced endoscopy form that requires maneuvers that differ from the usual ones that must be learned, in addition to specific equipment.
View Article and Find Full Text PDFComparative Treatment Outcomes for Patients With Idiopathic Subglottic Stenosis.
JAMA Otolaryngol Head Neck Surg
January 2020
Department of Otolaryngology-Head and Neck Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio.
Importance: Surgical treatment comparisons in rare diseases are difficult secondary to the geographic distribution of patients. Fortunately, emerging technologies offer promise to reduce these barriers for research.
Objective: To prospectively compare the outcomes of the 3 most common surgical approaches for idiopathic subglottic stenosis (iSGS), a rare airway disease.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!