scholarly journals Treatment of Snoring with a Nasopharyngeal Airway Tube

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Macario Camacho ◽  
Edward T. Chang ◽  
Camilo Fernandez-Salvador ◽  
Robson Capasso

Objective. To study the feasibility of a standard nasopharyngeal airway tube (NPAT) as treatment for snoring.Methods. An obese 35-year-old man, who is a chronic, heroic snorer, used NPATs while (1) the patient’s bedpartner scored the snoring and (2) the patient recorded himself with the smartphone snoring app “Quit Snoring.” Baseline snoring was 8–10/10 (10 = snoring that could be heard through a closed door and interrupted the bedpartner’s sleep to the point where they would sometimes have to sleep separately) and 60–200 snores/hr. Several standard NPATs were tested, consisting of soft polyvinyl chloride material raging between 24- and 36-French (Fr) tubes.Results. The 24 Fr tube did not abate snoring. The 26 Fr tube was able to abate the snoring sound most of the night (smartphone app: 11.4 snores/hr, bedpartner VAS = 2/10). The 28 and 30 Fr tubes abated the snoring sound the entire time worn (smartphone app: 0 snores, bedpartner VAS 0/10) but could not be tolerated more than 2.5 hours. The tube of 36 Fr size could not be inserted, despite several attempts bilaterally.Conclusion. Appropriately sized nasopharyngeal airway tubes may abate the snoring sound; however, as in this patient, they may be too painful and intolerable for daily use.

2021 ◽  
pp. 105566562110311
Author(s):  
Fabian Blanc ◽  
Inge Harrewijn ◽  
Claire Duflos ◽  
Frederica Maggiulli ◽  
Guillaume Captier

Objectives: To describe the initial care practices for children with Pierre Robin sequence (PRS) and analyze the factors predicting the severity of the obstruction breathing disorders. Design: A retrospective single-center study of 150 children with PRS. Setting: Single tertiary care center, Regional Competence Center for the diagnosis and treatment of PRS. Patients: A total of 150 children with PRS consecutively followed between 1986 and 2017. Group 1 comprises children without specific respiratory management; group 2, children requiring prone positioning to alleviate their respiratory distress symptoms; and group 3, children requiring nasopharyngeal airway tube (NT) or nonconservative surgical treatment. Main outcome measures: Evolution and results of the initial treatment of PRS. Results: Forty-two percent (n = 63) were attributed to group 1, 39% (n = 50) to group 2, and 19% (n = 29) to group 3. Preterm birth, birth weight, or associated congenital malformations were not significantly different between the groups. However, the age of exclusive oral feeding was significantly different: 1 day (quartiles: 0-3) for group 1; 11 days (quartiles: 1-28) for group 2; 39 days (quartiles: 19-111) for group 3 ( P < .0001). Considering the NT, its use relieves the upper airway obstruction, assessed by a respiratory polygraphy, in 14 children. Conclusions: Nasopharyngeal airway tube has become our major first-line treatment, avoiding more complex procedures in most of the cases. The achievement of exclusive oral feeding seems to be a good predictor of the severity of respiratory symptoms in PRS.


Author(s):  
T. G. Gregory

A nondestructive replica technique permitting complete inspection of bore surfaces having an inside diameter from 0.050 inch to 0.500 inch is described. Replicas are thermally formed on the outside surface of plastic tubing inflated in the bore of the sample being studied. This technique provides a new medium for inspection of bores that are too small or otherwise beyond the operating limits of conventional inspection methods.Bore replicas may be prepared by sliding a length of plastic tubing completely through the bore to be studied as shown in Figure 1. Polyvinyl chloride tubing suitable for this replica process is commercially available in sizes from 0.037- to 0.500-inch diameter. A tube size slightly smaller than the bore to be replicated should be used to facilitate insertion of the plastic replica blank into the bore.


2012 ◽  
Author(s):  
Greg M. Reger ◽  
Julia E. Hoffman ◽  
Josef I. Ruzek ◽  
David S. Riggs ◽  
Barbara O. Rothbaum ◽  
...  

2017 ◽  
Vol 22 (02) ◽  
pp. 42-43
Author(s):  
Birgitta vom Lehn
Keyword(s):  

Die Smartphone-App „Mobile Retter“ lenkt Ersthelfer in Minutenschnelle zu einem Notfall. Für Notfallpatienten steigen damit die Überlebenschancen, weil die mobilen Retter jene kritischen Minuten überbrücken, bis der Rettungsdienst eintrifft. Nach dem erfolgreichen Start im Landkreis Gütersloh vor drei Jahren setzen immer mehr Landkreise auf diese Software.


2018 ◽  
Author(s):  
T Orlemann ◽  
D Reljic ◽  
B Zenker ◽  
J Meyer ◽  
B Eskofier ◽  
...  
Keyword(s):  

2020 ◽  
Vol 21 (1) ◽  
pp. 1-20
Author(s):  
Paiz Hassan ◽  
Mohd Anuar Ramli

Majority of the indigenous people who are the original inhabitants in Malaysia inhibit the remote area of tropical forest which is rich in natural resources. Their lives are separated from the outside community due to several factors such as geography, low literacy, negative perceptions of the surrounding community, and the closed-door attitude of the indigenous people. Consistent preaching activities have changed the faith of the indigenous people from animism orientation towards believing in the Oneness of God. The practice of Islam as a way of life in the lives of indigenous peoples is found to be difficult to practice because the fiqh approach presented to them does not celebrate their local condition. In this regard, this study will examine the socio-cultural isolation of indigenous peoples and their impact on the interpretation of Islamic law. To achieve this objective, the researchers have applied the library research method by referring to the literatures related to the discussion of Islamic scholars in various disciplines of fiqh and usūl al-fiqh. The research found that there is rukhsah and taysir approach given to isolated people as well as with local background to facilitate the religious affairs of the indigenous people. Abstrak Majoriti masyarakat Orang Asli yang merupakan penduduk asal di semenanjung Malaysia mendiami kawasan pedalaman di hutan hujan tropika yang kaya dengan khazanah alam. Kehidupan mereka terasing daripada masyarakat luar disebabkan beberapa faktor seperti geografi, kadar literasi yang rendah, pandangan negatif masyarakat sekitar dan sikap tertutup masyarakat Orang Asli. Gerakan dakwah yang dijalankan secara konsisten telah membawa perubahan kepercayaan sebahagian masyarakat Orang Asli daripada berorientasikan animisme kepada mempercayai Tuhan yang Esa. Pengamalan Islam sebagai cara hidup dalam kehidupan masyarakat Orang Asli didapati agak sukar untuk dipraktikkan lantaran pendekatan fiqh yang disampaikan kepada mereka tidak meraikan suasana setempat mereka. Sehubungan itu, kajian ini akan meneliti keadaan isolasi sosio-budaya masyarakat Orang Asli dan kesannya terhadap pentafsiran hukum Islam. Bagi mencapai objektif tersebut, pengkaji menggunakan kajian kepustakaan sepenuhnya dengan menelusuri literatur berkaitan dengan perbincangan sarjana Islam dalam pelbagai disiplin ilmu fiqh dan usul fiqh. Hasil kajian mendapati terdapat rukhsah dan pendekatan taysir diberikan kepada mereka yang hidup terasing serta berlatar belakang budaya setempat bagi memudahkan urusan keagamaan masyarakat Orang Asli.


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