Anesthetic management of excision of laryngocele–role of transtracheal jet ventilation

Parthasarathy, Srinivasan; Nag, Kusha; Sivashanmugham, T; Karthikeyan, Padmanabhan; Ravishankar, M

doi:10.4103/joacp.joacp_143_15

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…Potassium and magnesium are the two most abundant intra-cellular cations in the body. [16] They play vital roles in the functioning of excitable tissues such as nerves, skeletal muscle and cardiac muscle [17]. They also play pivotal roles in various cellular metabolic reactions and replication [18]- [19].…”

Section: Discussionmentioning

confidence: 99%

“…They also play pivotal roles in various cellular metabolic reactions and replication [18]- [19]. Whereas intracellular potassium serves as a catalyst in a few enzymatic reactions, magnesium serves as a co-factor in more than 300 enzymatic reactions [16]- [17]. There are some reports documenting a relationship between serum magnesium and potassium which imply an association of hypomagnesemia with hypokalemia.…”

Section: Discussionmentioning

confidence: 99%

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Frequency of Hypomagnesemia in Patients with Hypokalemia Admitted in A Tertiary Care Hospital

Romel,

Afrin

2023

EJMED

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Deficiencies of electrolytes (hypokalemia and hypomagnesemia) are of clinical importance in hospitalized patients. Hypomagnesemia is often associated with hypokalemia and concomitant hypomagnesemia potentiates hypokalemia and makes it difficult to treat with potassium replacement alone. Therefore, the aim of this study was to evaluate the frequency of hypomagnesemia in hypokalemic patients admitted in a tertiary care hospital. Total 75 patients with admission hypokalemia (serum potassium <3.5 mmol/l) were approached for inclusion in the study. Overall frequency of hypomagnesemia (serum Mg2+ level <0.66 mmol/L) were present in 58.7% (n=44) patients. A positive correlation was observed between serum level of potassium and magnesium in our study population. (Pearson’s correlation co-efficient, r=0.801, P <0.001). However, before any final comment further multicenter study is recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Frequency of Hypomagnesemia in Patients with Hypokalemia Admitted in A Tertiary Care Hospital

Romel,

Afrin

2023

EJMED

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“…Most reported cases did not comment on the authors’ preferred method of proximal jet ventilation, but there was one case report of the use of transtracheal jet ventilation in a patient with a compromised airway secondary to laryngocele. 28 Tracheostomy was rarely used for airway control and management either pre- or post-operatively, but was used for emergency surgical airway protection in eight patients. Seven patients in the literature presented with an emergent airway secondary to an infected laryngocele, requiring tracheostomy insertion, 17 while only three patients had elective insertion of a covering tracheostomy, conducted in conjunction with either TORS or endoscopic laryngeal management.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of laryngocele and pyolaryngocele management in the age of robotic surgery

et al. 2020

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Objective A laryngocele is a space that develops as a result of pathological dilatation of the laryngeal saccule. However, the reported management of laryngoceles varies. We conducted a systematic review of the literature regarding the surgical management of laryngoceles and pyolaryngoceles, to understand the evolving nature of treatment for this rare condition. Methods We searched for publications in the PubMed, Cochrane Library, JBI Library of Systematic Reviews, and Ovid databases using the terms “laryngocele”, “pyolaryngocele”, and “laryngopyocele”, and reviewed the identified articles. Results After removal of repeated studies and filtering for relevance and studies written in English, a total of 227 studies were included in this review. No meta-analyses or randomized controlled trials have been published. The identified studies have been summarized in 14 reviews conducted since 1946. The meta-analysis determined that endoscopy was the preferred approach for internal laryngoceles, while combined laryngoceles benefited from both internal and external surgical approaches. Conclusions Laryngocele management has progressed since its initial description, from open surgery to an endoscopic approach, and more recently to a robotic-assisted surgical approach. The uptake of robotic surgery as a possible treatment modality over the last decade shows much promise for the treatment of these conditions.

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Emergency Airway Management of a Patient with Rosai-Dorfman Disease

Mohanty

Sahoo

Ghoshal

et al. 2021

Airway

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Rosai-Dorfman disease is a rare histiocytic disorder that involves the over-production of non-Langerhans sinus histiocytes. It presents with cervical lymphadenopathy and huge neck swelling that could prove to be a challenging airway and a nightmare for anaesthesiologists. We discuss the airway management of a patient with Rosai-Dorfman disease requiring an emergency tracheostomy as a life-saving measure.

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Anesthetic management of excision of laryngocele–role of transtracheal jet ventilation

Cited by 3 publications

References 2 publications

Frequency of Hypomagnesemia in Patients with Hypokalemia Admitted in A Tertiary Care Hospital

Frequency of Hypomagnesemia in Patients with Hypokalemia Admitted in A Tertiary Care Hospital

Systematic review of laryngocele and pyolaryngocele management in the age of robotic surgery

Emergency Airway Management of a Patient with Rosai-Dorfman Disease

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