The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives

Avnstorp, Magnus Balslev; Jensen, Pernille Vita Fooken; Dzongodza, Titus; Matinhira, Naboth; Chidziva, Clemence; Melchiors, Jacob; Buchwald, Christian von

doi:10.1017/s0022215116008719

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…The publications covered STSTs from 1989 to 2021, with one study from the 1980s, 18 five from the 1990s, 19–23 15 from the 2000s, 24,25,34–38,26–33 and 26 from 2010 to 2021 39,40,49–58,41,59–61,42–48 . The average study period was 4.14 years with a range of one week to 25 years.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen of our 47 articles mentioned education as the primary aim of the study, with two (10.6%) focusing solely on education 13,28,36,40,51–53,57,59,61 . Although many STSTs likely included HIC resident learners, nine (19%) mentioned resident involvement in LMIC work.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen of our 47 articles mentioned education as the primary aim of the study, with two (10.6%) focusing solely on education. 13,28,36,40,[51][52][53]57,59,61 Although many STSTs likely included HIC resident learners, nine (19%) mentioned resident involvement in LMIC work. None of the studies mentioned predetermined roles or responsibilities for their residents nor tracked their educational/surgical outcomes.…”

Section: Educational Outcomesmentioning

confidence: 99%

“…The publications covered STSTs from 1989 to 2021, with one study from the 1980s, 18 five from the 1990s, [19][20][21][22][23] 15 from the 2000s, 24,25,[34][35][36][37][38][26][27][28][29][30][31][32][33] and 26 from 2010 to 2021. 39,40,[49][50][51][52][53][54][55][56][57][58]41,[59][60][61][42][43][44][45][46][47][48] The average study period was 4.14 years with a range of one week to 25 years.…”

Section: Categorization and Timingmentioning

confidence: 99%

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Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

et al. 2023

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ObjectiveThis scoping review aims to explore the current body of literature to characterize how short‐term surgical trips (STSTs) in Otolaryngology‐Head and Neck Surgery (OtoHNS) contribute to surgical, educational, and sustainability‐based outcomes in low‐ and middle‐income countries (LMICs). We aim to use these data to synthesize aspects of STSTs that are successful with the hopes of shaping future global efforts.Data SourcesData sources included Ovid MEDLINE, Ovid Embase, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus.Review MethodsA comprehensive search was conducted on several databases from inception to October 14, 2021. We included primary studies exploring any surgical or educational outcomes of global short‐term surgical endeavors within LMICs. Data were then extracted to evaluate the heterogenous body of literature that exists, characterizing the surgical, educational, and sustainability‐based outcomes.ResultsForty‐Seven studies were included in the final analysis. Most publications were focused on surgical interventions (39 of 47; 82.9%); 13 (27.7%) studies included education as the primary aim and 12 (25.5%) considered sustainability a significant aim. Of the 94 first and last authors, there were zero first authors and only one last author with an LMIC affiliation. Twenty‐six studies (55%) mentioned that any patients were seen in follow‐up, ranging from one day to five years.ConclusionOur scoping review demonstrates that most STSTs have focused primarily on surgical procedures with a lack of appropriate long‐term follow‐up. However, the available outcome‐based information presented helps identify factors that characterize a strong short‐term global surgical program.Level of EvidenceN/A Laryngoscope, 2023

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Educational Outcomesmentioning

confidence: 99%

Section: Categorization and Timingmentioning

confidence: 99%

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Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

et al. 2023

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“…Finally, an article by Luu et al 8 . in this month's issue continues the theme of surgical simulation, 9 , 10 and evaluates a low-fidelity ear surgery simulator for developing otological microsurgical skills in low-resource settings. Simulation has become increasingly popular as a method of training surgeons in low-resource settings, with no risk to patient safety.…”

mentioning

confidence: 99%

All change…transcanal endoscopic ear surgery and house dust mite immunotherapy for allergic rhinitis

Fishman¹,

Youngs²,

Fisher³

et al. 2017

J. Laryngol. Otol.

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All change…transcanal endoscopic ear surgery and house dust mite immunotherapy for allergic rhinitis Endoscopic ear surgery is increasingly becoming commonplace in otological practice. 1 Advantages include the panoramic views obtained with the use of the otoendoscope outside of the microscope's line of sight and higher magnification. One of the drawbacks is only having a single hand available for dissection. In addition, endoscopic ear surgery limits the ability to use standard drills because of the risk of damage to the endoscope and the limited workspace in the external auditory canal.In this month's issue of The Journal of Laryngology & Otology, Gardner et al. describe the feasibility and safety of using an ultrasonic bone aspirator in transcanal endoscopic ear surgery. 2 Although the study was only performed on cadaveric temporal bones, it is a landmark study in that it illustrates the potential for powered instrumentation in endoscopic ear surgery, much like how functional endoscopic sinus surgery started out in its early days. The authors demonstrate the ease of bone removal with the ultrasonic aspirator (as demonstrated by the supplementary video material, available online at The Journal website 3 ), with no additional complications and a significant reduction in the time taken to perform an atticoantrostomy, compared with standard bone curettage.The efficacy, tolerability and safety of subcutaneous and sublingual immunotherapy for allergic rhinitis is hotly debated, and is the subject of the recently published European Academy of Allergy and Clinical Immunology guidelines on allergen immunotherapy. 4,5 An article by Sahin et al. in this month's issue investigated the long-term effects of subcutaneous immunotherapy for house dust mite induced allergic rhinitis, based on a 10-year follow up. 6 The authors conclude that subcutaneous immunotherapy is effective for house dust mite induced allergy, even 10 years after treatment. This study follows previous research which demonstrated that sublingual immunotherapy with house dust mite extracts is also efficacious for patients with house dust mite allergic rhinitis. 7 Finally, an article by Luu et al. 8 in this month's issue continues the theme of surgical simulation, 9,10 and evaluates a low-fidelity ear surgery simulator for developing otological microsurgical skills in lowresource settings. Simulation has become increasingly popular as a method of training surgeons in lowresource settings, with no risk to patient safety. Such a tool may be highly valuable in helping to train future surgeons to manage middle-ear disease. JONATHAN FISHMAN ROBIN YOUNGS EDWARD FISHER MUSHEER HUSSAIN Senior Editors

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A fatal case of Gradenigo's syndrome in Zimbabwe and the Danish-Zimbabwean ENT collaboration

Jensen

Avnstorp

Dzongodza

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives

Abstract: Emergency cricothyroidotomy training should be considered for all surgeons, anaesthetists and, eventually, emergency and recovery room personnel in developing countries. A video-guided simulation training programme on emergency cricothyroidotomy in Zimbabwe proved its value in this regard.

Cited by 4 publications

References 18 publications

Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

All change…transcanal endoscopic ear surgery and house dust mite immunotherapy for allergic rhinitis

A fatal case of Gradenigo's syndrome in Zimbabwe and the Danish-Zimbabwean ENT collaboration

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