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Chronic Pharyngitis01:23

Chronic Pharyngitis

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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
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Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
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Suctioning the Nasopharyngeal Airway01:29

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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Hot tonsillectomy for paediatric obstructive sleep apnoea.

Paula Coyle1, Sherief Deya Marzouk2, Margarita Gerolympou1

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Urgent surgery for paediatric obstructive sleep apnoea (OSA) may be necessary. A 5-year-old boy with severe breathing issues improved rapidly after emergency adenotonsillectomy, highlighting the need for timely intervention.

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Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Pediatric Emergency Medicine

Background:

  • Obstructive sleep apnoea (OSA) is a frequent condition in pediatric ear, nose, and throat (ENT) clinics.
  • Diagnosis of OSA often leads to surgical intervention, typically adenotonsillectomy.
  • The urgency of surgical treatment for pediatric OSA remains a debated topic.

Observation:

  • A 5-year-old boy presented with severe respiratory distress and significant desaturations (77%).
  • He had a history of OSA diagnosed 8 months prior and was on the standard waiting list for adenotonsillectomy.
  • The child underwent an emergency adenotonsillectomy during his admission.

Findings:

  • Immediate post-operative improvement in respiratory status was observed.
  • The patient experienced no major desaturations in recovery and maintained stable vital signs.
  • This case suggests that prompt surgical intervention can yield rapid positive outcomes.

Implications:

  • The findings question the standard waiting times for surgical treatment in severe pediatric OSA cases.
  • Reviewing the evidence base is crucial to determine if urgent surgical management is warranted for these patients.
  • This approach may prevent severe respiratory compromise and improve patient outcomes.