Manipulation of nasal fractures with local anaesthetic: A ‘How to do it’ with online video tutorial

2010 ◽  
Vol 22 (3) ◽  
pp. 236-239 ◽  
Author(s):  
Costa Repanos ◽  
Daniel Anderson ◽  
James Earnshaw ◽  
David Mitchell ◽  
William Coman
Keyword(s):  
Local Anaesthetic ◽  
Online Video ◽  
Video Tutorial ◽  
Nasal Fractures

scholarly journals 907 Reduction of Nasal Fractures During COVID-19: A Single-Centre Experience

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Crotty ◽  
M Corbett ◽  
T Hussain ◽  
A Diaconescu ◽  
N Patil
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Local Anaesthetic ◽  
Regional Anaesthesia ◽  
Effective Alternative ◽  
General Anaesthetic ◽  
Single Centre ◽  
Pain Scores ◽  
Single Centre Experience ◽  
Nasal Fractures

Abstract Introduction The utilization of local or regional anaesthesia for manipulation of nasal fractures (MNF) avoids the need for general anaesthetic (GA), and the risk associated with instrumentation of the airway during the COVID-19 pandemic. Furthermore, MNF under local anaesthetic (LA) provides similar results with regards to cosmesis and patient satisfaction. We present our experience of performing MNF under LA during the COVID-19 pandemic. Method A single-centre, prospective study of all patients undergoing MNF under LA was conducted (13th July/20–11thSeptember/20). Following reduction, pain scores and patient satisfaction surveys were administered. Results A total of 25 patients (M/F:16/9, median age, 25.6yr (14-52yr)) were enrolled. The majority of patients received either one or two instillations of LA (n = 19, 76%). Pain reported during the MNF procedure was 4.4/10, whilst pain during LA administration was reported as 3.2/10. 80% of patients felt instillation of LA was less painful than expected. 88% of respondents tolerated the LA well, and only 8% would have opted for general anaesthetic. 24 (96%) participants were happy with the cosmetic result. Discussion MNF under LA is a safe and effective alternative to MNF under GA. More literature is needed to define the best method of administering LA prior to performing MNF.

scholarly journals 1402 Impact of COVID-19 on Nasal Fracture Presentation and Epidemiology: A Retrospective Comparative Case-series Study

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Hassane ◽  
S Palaniappan ◽  
M Szostok ◽  
M Shakeel
Keyword(s):  
Local Anaesthetic ◽  
Older Patients ◽  
Nasal Congestion ◽  
Case Series ◽  
Nasal Fracture ◽  
Case Series Study ◽  
The Common ◽  
The Difference ◽  
Nasal Fractures ◽  
Series Study

Abstract Aim Nasal fractures (NF) are the most common ENT presentation and commonly managed in the clinic or A&E. With the recent COVID pandemic, this study aims to assess the difference in demographics, incidence and aetiology in NF since the start of the first lockdown (16/03/2020) as well as management of nasal fractures. Method Retrospectively, data collection on demographics, history and management over 5 years (2015-2020) for all patients presenting with symptoms of nasal fracture. Data was collected on password-protected Excel spreadsheet and subsequent statistical analysis performed using IBM SPSS Statistics. Results A total of 346 patients were identified of which 36 were diagnosed during the lockdown. Seventy-one percent were ≤40 years old and common aetiology recorded was assault (n = 85), sports (n = 85) and falls (n = 77). Mechanical fall was the common aetiology in older patients. Across gender, falls was the most common aetiology in females (37/94) and assault for males (72/246). Epistaxis (57%) and nasal congestion (31.8%) were most commonly reported symptoms. Before lockdown, Fifty-six percent of the cohort underwent manipulation of NF under local anaesthetic and no intervention needed in 39% while 58% underwent no intervention during the lockdown. No patients were readmitted in 30 days who were treated conservatively or with local anaesthetic during the lockdown. Conclusions This study showed that the most common cause of NF was sports and assault while during the lockdown, falls was the leading cause. More patients were managed conservatively during the lockdown with no 30-readmission showing that conservative management was as effective as management under local anaesthetic.

ONLINE VIDEO TUTORIAL REPOSITORY FOR PHYSICAL THERAPY STUDENTS

2017 ◽  
Author(s):  
Yasmin Ezzatvar de Llago ◽  
Jose Casaña Granell ◽  
Manuel Zarzoso Muñoz ◽  
Josep Benítez Martínez ◽  
Sofia Pérez Alenda ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Online Video ◽  
Physical Therapy Students ◽  
Video Tutorial

Local anaesthesia for manipulation of nasal fractures: systematic review

2009 ◽  
Vol 123 (8) ◽  
pp. 830-836 ◽  
Author(s):  
N K Chadha ◽  
C Repanos ◽  
A J Carswell
Keyword(s):  
Systematic Review ◽  
General Anaesthesia ◽  
Local Anaesthetic ◽  
Local Anaesthesia ◽  
Randomised Controlled Trials ◽  
Anaesthetic Techniques ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Randomised Controlled ◽  
Nasal Fractures

AbstractObjective:To determine the most effective local anaesthetic method for manipulation of nasal fractures, and to compare the efficacy of local anaesthesia with that of general anaesthesia.Method:Systematic review and meta-analysis.Databases:Medline, Embase, Cochrane Library, National Research Register and metaRegister of Controlled Trials.Included studies:We included randomised, controlled trials comparing general anaesthesia with local anaesthesia or comparing different local anaesthetic techniques. Non-randomised studies were also systematically reviewed and appraised. No language restrictions were applied.Results:Five randomised, controlled trials were included, three comparing general anaesthesia versus local anaesthesia and two comparing different local anaesthetic methods. No significant differences were found between local anaesthesia and general anaesthesia as regards pain, cosmesis or nasal patency. The least painful local anaesthetic method was topical tetracaine gel applied to the nasal dorsum together with topical intranasal cocaine solution. Minimal adverse events were reported with local anaesthesia.Conclusions:Local anaesthesia appears to be a safe and effective alternative to general anaesthesia for pain relief during nasal fracture manipulation, with no evidence of inferior outcomes. The least uncomfortable local anaesthetic method included topical tetracaine gel.

scholarly journals Assessing the Influence of an Online Video Tutorial Library on Undergraduate Mechanical Engineering Students

2021 ◽  
Author(s):  
Juliana Fuqua ◽  
Faye Wachs ◽  
Paul Nissenson ◽  
Deanna Miranda Barrios ◽  
Cecilia Nguyen
Keyword(s):  
Mechanical Engineering ◽  
Engineering Students ◽  
Online Video ◽  
Video Tutorial

scholarly journals Creation of an Online Video Tutorial Library at a State University

2020 ◽  
Author(s):  
Paul Nissenson ◽  
Nolan Tsuchiya ◽  
Mariappan Jawaharlal ◽  
Angela Shih
Keyword(s):  
Online Video ◽  
State University ◽  
Video Tutorial

686 Evaluating and Modernising the Management of Nasal Trauma in Emergency ENT Clinic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Rassam ◽  
V Blackabey ◽  
I Srouji
Keyword(s):  
Local Anaesthetic ◽  
Additional Insight ◽  
Post Injury ◽  
Face To Face ◽  
Clinical Notes ◽  
Common Causes ◽  
Manipulation Under Anaesthesia ◽  
Nasal Trauma ◽  
Nasal Fractures ◽  
Insight Into

Abstract Aim 1. Optimise and compare management of nasal fractures at a single UK based centre with nationally excepted standards from ENT UK and published literature. 2. To measure the non-attendance (DNA) rate in the emergency ENT clinic for patients with nasal trauma. 3. To assess the ratio of face to face (F2F) appointments to patients listed for a manipulation under anaesthesia MUA. 4. To provide additional insight into the aetiology of nasal trauma Method Retrospective analysis of clinical notes for all nasal traumas reviewed in the ENT emergency clinic at a single centre from 1st July 2019 – 1st March 2020. Parameters investigated included – demographics, days from injury, F2F:MUA, DNA rate and aetiology of injury. Implementation of a video-based clinic and local anaesthetic MUA clinic. Results At total of 255 patients and 311 appointments notes were reviewed in this period. DNA rate was found to be 28%. F2F:MUA was found to be 4:1. Patients were reviewed on average 9 days post-injury. Most common causes of trauma were assault (39%), fall (31%), sport (13%), accidental hit (10%). Conclusions The DNA rate was found to be 20% higher than the national average for outpatient clinics and a F2F:MUA of 4:1 displays a high burden of unnecessary F2F contact. A video-based and local anaesthetic nasal fractures clinic has been implemented to combat these issues which will be re-audited.

Online teaching in the era of Covid-19: Comparison between power-point vs video Tutorial: students’ perception

2021 ◽  
Vol 15 (11) ◽  
pp. 2849-2852
Author(s):  
Fareesa Waqar ◽  
Beenish Riaz ◽  
Huma Afridi ◽  
Shumaila Sharif ◽  
Wajiha Shadab ◽  
...  
Keyword(s):  
Online Teaching ◽  
Teaching Method ◽  
Online Video ◽  
Medical College ◽  
Online Study ◽  
Video Tutorial ◽  
Validated Questionnaire ◽  
The Mean ◽  
Power Point Presentation ◽  
Power Point

Aim: To compare students perception towards use of video tutorial versus conventional power point presentation for online medical teaching Study design: Comparative descriptive survey Place and duration of study: The online study was conducted in the Department of Gyne. & Obs., Islamic International Medical College Rawalpindi & Sialkot Medical College Sialkot on Ms-Teams from 21st July 2020 to 21st October 2020 Methods: One hundred and one students from 4rth year MBBS participated in the study. Students were taught a given topic on power point presentation and then through a video tutorial online on Ms -Teams. Data was collected using a validated questionnaire. Students were inquired to express their perceptions & attitudes regarding the online teaching method, using a five point Likert scale. All the data was analyzed on SPSS version 20. Results: Out of 101, there were 38 males and 63 female students with ages ranged between 22 to 26 years. The mean score for video tutorial was higher than the mean score for Power Point in content understandability. There was a statistical difference in content understandability, effectiveness of teaching technique and attitude towards two teaching techniques (P< 0.05). Students had more positive attitude towards watching an online video than PowerPoint, which implied it was more entertaining, engaging and effective. Discussion was more spontaneous with a video tutorial as compared to Power Point. Students were involved more and enjoyed higher level of interaction. Conclusion: Online video tutorials were more effective as compared to the power-point presentations in content understandability of students and their learning processes. Keywords: Online teaching, Covid 19, Video tutorial, power point presentation

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