Pediatric tracheostomy: A 10-year experience at a tertiary care teaching hospital in Eastern India

Swain, SantoshKumar; Behera, IshwarChandra

doi:10.4103/kleuhsj.kleuhsj_130_22

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Majority of infants affected bilaterally require tracheostomy. 48 However, children with unilateral vocal fold paralysis have an acceptable airway, but a breathy voice. They are at a slightly higher risk for aspiration.…”

Section: Vocal Fold Paralysismentioning

confidence: 99%

Evaluation of the pediatric airway: a review

Swain

2022

Int J Contemp Pediatr

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The airway in the pediatric age group is a complex structure that extends from the external nares to the junction of the larynx and trachea. The airway of pediatric patients has significant anatomical and physiological differences compared to the adult age group. The difficult airway in children is an important contributor to both morbidity and mortality of the patient. The symptoms and signs of pediatric patients with respiratory distress depend on the site and severity of the obstruction. It is essential to evaluate and localize the site and etiology of the obstruction of the pediatric airway. Pediatric otolaryngologists and anesthetists must have a strategy for managing the predicted difficult pediatric airway. Flexible nasopharyngolaryngoscopy is the gold standard method for predicting or knowing the difficult airway in children. The majority of pediatric patients who have difficult airways are identified preoperatively. Knowledge of the airway differences between the pediatric and adult ages will help clinicians anticipate and troubleshoot difficulties that may happen. This review article aims to discuss the evaluation of the pediatric airway including its anatomy and physiology of the airway, proper history taking, clinical examination, and investigations.

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Section: Vocal Fold Paralysismentioning

confidence: 99%

Evaluation of the pediatric airway: a review

Swain

2022

Int J Contemp Pediatr

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Vibration-reduced anxiety-like behavior relies on ameliorating abnormalities of the somatosensory cortex and medial prefrontal cortex

Misrani,

Tabassum,

Wang

et al. 2023

Neural Regeneration Research

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Tibetan singing bowls emit low-frequency sounds and produce perceptible harmonic tones and vibrations through manual tapping. The sounds the singing bowls produce have been shown to enhance relaxation and reduce anxiety. However, the underlying mechanism remains unclear. In this study, we used chronic restraint stress or sleep deprivation to establish mouse models of anxiety that exhibit anxiety-like behaviors. We then supplied treatment with singing bowls in a bottomless cage placed on the top of a cushion. We found that unlike in humans, the combination of harmonic tones and vibrations did not improve anxiety-like behaviors in mice, while individual vibration components did. Additionally, the vibration of singing bowls increased the level of N-methyl-D-aspartate receptor 1 in the somatosensory cortex and prefrontal cortex of the mice, decreased the level of γ-aminobutyric acid A (GABA) receptor α 1 subtype, reduced the level of CaMKII in the prefrontal cortex, and increased the number of GABAergic interneurons. At the same time, electrophysiological tests showed that the vibration of singing bowls significantly reduced the abnormal low-frequency gamma oscillation peak frequency in the medial prefrontal cortex caused by stress restraint pressure and sleep deprivation. Results from this study indicate that the vibration of singing bowls can alleviate anxiety-like behaviors by reducing abnormal molecular and electrophysiological events in somatosensory and medial prefrontal cortex.

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Pediatric tracheostomy: A 10-year experience at a tertiary care teaching hospital in Eastern India

Cited by 2 publications

References 28 publications

Evaluation of the pediatric airway: a review

Evaluation of the pediatric airway: a review

Vibration-reduced anxiety-like behavior relies on ameliorating abnormalities of the somatosensory cortex and medial prefrontal cortex

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