Perioperative pain management in rhinology and anterior skull base surgery

2022 ◽  
pp. 63-80
Author(s):  
Nyssa Fox Farrell ◽  
Timothy Smith
Skull Base ◽  
2007 ◽  
Vol 16 (S 1) ◽  
Author(s):  
W. Scott Jellish ◽  
John Leonetti ◽  
Sam Marzo ◽  
Douglas Anderson

Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
Ameet Singh ◽  
Gurston Nyquist ◽  
Vijay Anand ◽  
Theodore Schwartz

Animals ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1882
Author(s):  
Ria van Dyke ◽  
Melanie Connor ◽  
Amy Miele

While veterinarians are instrumental to the welfare of calves (Bos taurus), limited knowledge exists concerning veterinary perceptions towards perioperative pain management in calves. As a part of a larger, nationwide study investigating the perceptions of veterinarians towards calf welfare, the current work sought to quantify veterinary perceptions towards perioperative pain management, including barriers to its use, and investigate demographic influences affecting those perceptions. An electronic mixed-methods survey was completed by 104 veterinarians registered with the Veterinary Council of New Zealand. The current work revealed that most veterinarians considered a multimodal approach as the most effective method for ameliorating perioperative pain in calves, rejected the practice of differential treatment based on developmental age, and perceived that postprocedural pain persists beyond 24 h for the majority of procedures included in the survey. Despite this, veterinarians identified certain barriers that may inhibit the provision of pain mitigation on-farm, including costs, inadequate recognition of pain, and ingrained farming practices. Certain demographic effects were found to influence perceptions towards perioperative pain management, including gender, the number of years since graduation, and species emphasis. Nevertheless, the current work demonstrated considerable support among veterinarians to improve pain management protocols during routine husbandry procedures. The asymmetries that exist between the current minimum provisions of perioperative pain management and veterinary perspectives suggest that substantive improvements are necessary in order to reconcile New Zealand’s existing regulatory regime with developments in scientific knowledge.


Author(s):  
Axel Wolf ◽  
Alexandros Andrianakis ◽  
Peter Valentin Tomazic ◽  
Michael Mokry ◽  
Georg Clarici ◽  
...  

Abstract Objective To evaluate the frequency, type and indications of nasal turbinate (NT) resection during endoscopic, anterior skull base surgery and to analyze factors that may have an impact on the need of NT removal. Methods In this retrospective cohort study, 306 subjects (150 males and 156 females, mean age 55.4 ± 15.3 years) who underwent multidisciplinary, transnasal, endoscopic tumor surgery of the anterior skull base using 4-handed techniques between 2011 and 2019 at the Department of Otorhinolaryngology, Medical University of Graz, were included. Results In the majority of interventions (n = 281/306; 91.8%), all NT were preserved. Significant factors influencing the need of NT resections turned out to be type of endoscopic approach (p < 0.001; V = 0.304), sagittal (p = 0.003; d = 0.481) and transversal (p = 0.017; d = 0.533) tumor diameter, tumor type (p < 0.001; V = 0.355) and tumor location (p < 0.001; V = 0.324). Conclusions NT can be preserved in the majority of patients undergoing tumor resection in anterior, transnasal, skullbase surgery and routine resection of NT should be avoided. Variables that have an impact on the need of NT resections are types of endoscopic approaches, sagittal and transversal tumor extension and tumor type. These factors should be considered in planning of surgery and preoperative information of patients.


2016 ◽  
Vol 5 (2) ◽  
pp. 303-318 ◽  
Author(s):  
Rebecca Dale ◽  
Tiffany Chen ◽  
Jane Ballantyne

Skull Base ◽  
1997 ◽  
Vol 7 (01) ◽  
pp. 39-41 ◽  
Author(s):  
Keiichi Ichimura ◽  
Ken-ichi Nibu ◽  
Toshiyoshi Tanaka ◽  
Hideki Takekoshi ◽  
Tomio Sasaki ◽  
...  

2005 ◽  
Vol 38 (1) ◽  
pp. 107-131 ◽  
Author(s):  
Michael J. Kaplan ◽  
Nancy J. Fischbein ◽  
Griffith R. Harsh

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