Non-technical skills and otolaryngology: systematic review

Bannon, Ross; Stewart, Kirsten; Bannister, Miles

doi:10.1017/s0022215120000900

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Рання діагностика порушень слуху на первинній ланці медичної допомоги становить певні труд-нощі, зважаючи на необхідність застосування високотехнологічних методів обстеження слухової системи, які доступні лише на вторинній та третинній ланках охорони здоров'я. Створення алгоритму діагностики порушень слуху для первинної ланки дозволить по- кращити якість діагностики, оптимізувати маршрут пацієнта та забезпечити максимально раннє проведення лікувально-профілактичних заходів, що може позитивно позначитися на результатах лікування та якості життя пацієнтів [2,7,23]. Лікарі первинної ланки у своїй практиці використовують класифікацію ICPC-2.…”

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Optimization of Approaches to Early Diagnosis of Hearing Impairment in Primary Care

Maryna¹,

Olexandr²

2022

FMEP

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Almost 500 million people worldwide suffer from hearing loss or impairment. The causes of hearing loss are very diverse. Hearing loss can be caused by hereditary and non-hereditary genetic factors, certain complications during pregnancy and delivery, infectious and chronic diseases, head or ear trauma, etc. A common problem today is hearing impairment. Development of diagnostic algorithm for hearing disorders in primary care will improve the quality of diagnosis, optimize the patient’s management and ensure the earliest possible treatment and prevention measures, which will positively effect the results of treatment and patients quality of life. Primary care physicians use the ICPC-2 classification in their practice. They collect complaints, anamnesis, and test hearing ability. There are various methods to examine auditory function, most of which are based on the patient’s subjective data about perception of the heard sounds. These include perception of whispered and spoken speech, tuning fork experiments (accumetry), audiometry. Hearing is considered normal if a whispered speech is perceived at a distance of 6 m. The whispered speech degree of perception is the greatest distance from which the patient correctly repeats the words spoken by the doctor fro three times. Primary care physicians conduct a tuning fork examination of the patient using the Weber test (W), Rinne test (R), Schwabach test (Sch). Timely hearing examination with the help of modern diagnostic methods in primary care and the correct assessment of the potential capabilities of the auditory system of patients allows correct evaluation of its condition. The normal functioning of the hearing organ is one of the crucial factors for the overall development and healthy human life. After all, thanks to the auditory analyzer, a person receives information about the surrounding world.

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Optimization of Approaches to Early Diagnosis of Hearing Impairment in Primary Care

Maryna¹,

Olexandr²

2022

FMEP

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Strategies for CO₂ Laser Use in Laryngeal Microsurgery: A Systematic Review

Landry,

Sedillot‐Daniel,

Ayad

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveWe aim to systematically review the literature addressing perioperative practices for optimal use of the CO2 laser in laryngeal transoral laser microsurgery (TOLMS), with a focus on safety.Data SourcesA systematic review of publications indexed in Medline, Embase, and EBM reviews‐Cochrane Central Register of Controlled Trials which evaluated perioperative strategies for the use of CO2 laser in laryngeal TOLMS was conducted.Review MethodsRecords obtained from the search strategy were assessed for eligibility in a 2‐step process by 2 independent researchers using the Covidence software.ResultsAmong 2143 identified records, 103 were included in this study. The majority of studies (n = 25) focused on the use of the CO2 laser in oncologic resection, while 20 addressed the treatment of vocal cord paralysis, 16 discussed the treatment of pediatric or congenital pathologies, 11 detailed the management of benign lesions, and 31 studies tackled other surgical indications. Strategies for safe CO2 TOLMS were highly heterogeneous across studies and included preoperative measures (ie, related to the environment, staff preparation, patient protection, and ventilation), intraoperative precautions (ie, protection of nontarget structures, technical considerations, topical and systemic medications), and postoperative strategies (ie, related to airway protection, oral intake, vocal rest, hospitalization duration, drug regimen, and consultant follow‐up).ConclusionThe results provided in this study can be used as a framework to guide the creation of laser safety protocols across institutions, guide quality improvement initiatives, the development of simulation training activities, and as a tool to facilitate resident teaching and skill assessment.

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Tracheostomy care and decannulation during the COVID-19 pandemic. A multidisciplinary clinical practice guideline

Rovira

Dawson

Walker

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Traditional critical care dogma regarding the benefits of early tracheostomy during invasive ventilation has had to be revisited due to the risk of COVID-19 to patients and healthcare staff. Standard practises that have evolved to minimise the risks associated with tracheostomy must be comprehensively reviewed in light of the numerous potential episodes for aerosol generating procedures. We meet the urgent need for safe practise standards by presenting the experience of two major London teaching hospitals, and synthesise our findings into an evidence-based guideline for multidisciplinary care of the tracheostomy patient. Methods This is a narrative review presenting the extensive experience of over 120 patients with tracheostomy, with a pragmatic analysis of currently available evidence for safe tracheostomy care in COVID-19 patients. Results Tracheostomy care involves many potentially aerosol generating procedures which may pose a risk of viral transmission to staff and patients. We make a series of recommendations to ameliorate this risk through infection control strategies, equipment modification, and individualised decannulation protocols. In addition, we discuss the multidisciplinary collaboration that is absolutely fundamental to safe and effective practise. Conclusion COVID-19 requires a radical rethink of many tenets of tracheostomy care, and controversy continues to exist regarding the optimal techniques to minimise risk to patients and healthcare workers. Safe practise requires a coordinated multidisciplinary team approach to infection control, weaning and decannulation, with integrated processes for continuous prospective data collection and audit.

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Non-technical skills and otolaryngology: systematic review

Cited by 3 publications

References 27 publications

Optimization of Approaches to Early Diagnosis of Hearing Impairment in Primary Care

Optimization of Approaches to Early Diagnosis of Hearing Impairment in Primary Care

Strategies for CO₂ Laser Use in Laryngeal Microsurgery: A Systematic Review

Tracheostomy care and decannulation during the COVID-19 pandemic. A multidisciplinary clinical practice guideline

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Non-technical skills and otolaryngology: systematic review

Cited by 3 publications

References 27 publications

Optimization of Approaches to Early Diagnosis of Hearing Impairment in Primary Care

Optimization of Approaches to Early Diagnosis of Hearing Impairment in Primary Care

Strategies for CO2 Laser Use in Laryngeal Microsurgery: A Systematic Review

Tracheostomy care and decannulation during the COVID-19 pandemic. A multidisciplinary clinical practice guideline

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Strategies for CO₂ Laser Use in Laryngeal Microsurgery: A Systematic Review