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  1. Article ; Online: Emergency front-of-neck airway in the COVID-19 patient: Cannula or surgical cricothyroidotomy?

    Chua, Henry / Wong, Theodore / Lim, Wan Yen / Wong, Patrick

    Anaesthesia, critical care & pain medicine

    2020  Volume 39, Issue 4, Page(s) 475–477

    MeSH term(s) Aerosols ; Airway Management/methods ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Cricoid Cartilage/surgery ; Emergencies ; Equipment Design ; Insufflation/adverse effects ; Insufflation/instrumentation ; Insufflation/methods ; Manikins ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Simulation Training ; Tracheostomy/methods
    Chemical Substances Aerosols
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country France
    Document type Letter
    ISSN 2352-5568
    ISSN (online) 2352-5568
    DOI 10.1016/j.accpm.2020.06.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: "Closed" Supraglottic Airway-Guided Intubation During the COVID-19 Pandemic: A Glo Germ Follow-up.

    Chua, Henry / Lim, Wan Yen / Mok, May / Wong, Patrick

    Anesthesia and analgesia

    2020  Volume 131, Issue 3, Page(s) e168–e169

    MeSH term(s) Airway Management ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Follow-Up Studies ; Humans ; Laryngeal Masks ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000005032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Emergency front-of-neck airway in the COVID-19 patient

    Chua, Henry / Wong, Theodore / Lim, Wan Yen / Wong, Patrick

    Anaesthesia Critical Care & Pain Medicine

    Cannula or surgical cricothyroidotomy?

    2020  Volume 39, Issue 4, Page(s) 475–477

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2352-5568
    DOI 10.1016/j.accpm.2020.06.007
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: “Closed” Supraglottic Airway-Guided Intubation During the COVID-19 Pandemic

    Chua, Henry / Lim, Wan Yen / Mok, May / Wong, Patrick

    Anesthesia & Analgesia

    A Glo Germ Follow-up

    2020  Volume 131, Issue 3, Page(s) e168–e169

    Keywords Anesthesiology and Pain Medicine ; covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ane.0000000000005032
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Association between frailty, cerebral oxygenation and adverse post-operative outcomes in elderly patients undergoing non-cardiac surgery: An observational pilot study.

    Khan, Shariq Ali / Chua, Henry Wenjie / Hirubalan, Premila / Karthekeyan, Ranjith Baskar / Kothandan, Harikrishnan

    Indian journal of anaesthesia

    2016  Volume 60, Issue 2, Page(s) 102–107

    Abstract: Background and aims: Although both frailty and low cerebral oxygen saturation increase the risk of post-operative complications, their relationship is yet to be investigated. The purpose of this observational study was to investigate the association ... ...

    Abstract Background and aims: Although both frailty and low cerebral oxygen saturation increase the risk of post-operative complications, their relationship is yet to be investigated. The purpose of this observational study was to investigate the association between frailty, intraoperative cerebral oxygen saturation and post-operative complications in elderly patients undergoing non-cardiac surgery.
    Methods: After approval from the Institutional Review Board, 25 elderly patients (>65 years) undergoing non-cardiac major surgery were included in this study. Pre-operatively, all included patients were assessed for frailty and classified into frail and non-frail groups. All patients had routine intraoperative monitors, and a cerebral oximeter applied during anaesthesia. The 'intraoperative' anaesthesiologist and the post-operative study investigator were blinded to cerebral oximeter readings throughout the study. The incidence of significant intraoperative cerebral oxygen desaturation, adverse post-operative outcomes and length of hospital stay were compared. Statistical significance was defined as a value of P < 0.05.
    Results: We found that the frail group had more intraoperative cerebral desaturation (odds ratio [OR] [95% confidence interval [CI]]: 1.75 [1.11-2.75]) and longer median (interquartile range) length of hospital stay compared to the non-frail group (13.5 days [8.75-27.5] and 8 days [6-11], respectively). Furthermore, in patients with a low-baseline cerebral oxygen saturation (<55%), intraoperative cerebral desaturation (OR [95% CI]: 2.10 [1.00-4.42]), adverse post-operative outcomes (OR [95% CI]: 1.80 [1.00-3.23]) and median (interquartile range) length of hospital stay (15 days [9-31.5] vs. 9 days [6.25-13.75], P = 0.04) were significantly higher compared to subjects with higher baseline (≥55%) cerebral oxygen saturation.
    Conclusions: Frail patients have more intraoperative cerebral desaturation and longer lengths of hospital stay compared to non-frail patients.
    Language English
    Publishing date 2016-03-24
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.176278
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Entomological Surveillance Associated with Human Zika Cases in Miri Sarawak, Malaysia.

    Ali, Roziah / Azmi, Ruziyatul Aznieda / Wasi Ahmad, Nazni / Abd Hadi, Azahari / Muhamed, Khairul Asuad / Rasli, Rosilawati / Yoon Ling, Cheong / Anak Chua, Henry / Lian Wan, Kiew / Lee, Han Lim

    The American journal of tropical medicine and hygiene

    2020  Volume 102, Issue 5, Page(s) 964–970

    Abstract: Two confirmed human cases of Zika virus (ZIKV) were reported in the district of Miri, Sarawak, in 2016. Following that, a mosquito-based ZIKV surveillance study was conducted within 200-m radius from the case houses. Mosquito surveillance was conducted ... ...

    Abstract Two confirmed human cases of Zika virus (ZIKV) were reported in the district of Miri, Sarawak, in 2016. Following that, a mosquito-based ZIKV surveillance study was conducted within 200-m radius from the case houses. Mosquito surveillance was conducted using five different methods, that is, biogents sentinel mosquito (BG) sentinel trap, modified sticky ovitrap, resting catch, larval surveillance, and conventional ovitrap. A total of 527 and 390 mosquito samples were obtained from the case houses in two localities, namely, Kampung Lopeng and Taman Shang Ri La, Miri, Sarawak, respectively. All mosquitoes collected were identified, which consisted of 11 species.
    MeSH term(s) Aedes/virology ; Animals ; Culex/virology ; Culicidae/virology ; Female ; Humans ; Malaysia/epidemiology ; Male ; Mosquito Vectors/virology ; Population Surveillance ; Real-Time Polymerase Chain Reaction ; Zika Virus Infection/epidemiology ; Zika Virus Infection/etiology ; Zika Virus Infection/transmission
    Language English
    Publishing date 2020-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.19-0339
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Microbiological contamination during transgastric and transvaginal endoscopic techniques.

    Lomanto, Davide / Chua, Henry C / Myat, Moe M / So, Jimmy / Shabbir, Asim / Ho, Lawrence

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2009  Volume 19, Issue 4, Page(s) 465–469

    Abstract: Natural orifice transluminal endoscopic surgery (NOTES) has gained widespread interest as a potentially alternative to laparoscopic surgery, but concerns over peritoneal contaminations are unsolved. The aim of our study was to assess the safety of ... ...

    Abstract Natural orifice transluminal endoscopic surgery (NOTES) has gained widespread interest as a potentially alternative to laparoscopic surgery, but concerns over peritoneal contaminations are unsolved. The aim of our study was to assess the safety of transluminal surgery by investigating the intraperitoneal bacterial load and contamination during transgastric and transvaginal surgeries. Twelve female pigs underwent transgastric (n = 7; tubal ligation and oophorectomy) and transvaginal procedures (n = 5; cholecystectomy). All animals were sacrificed after 2 weeks. The procedures were performed by using a double-channel endoscope (GIF-2T160; Olympus, Tokyo, Japan) under general anesthesia. Peritoneal fluid sampling was taken immediately after entry into the abdomen, at the end of the surgical procedure and during the autopsy, and sent for microbiologic assessment. In the transgastric group, 6 animals completed the surgical procedures and survived. Three pigs experienced signs of postoperative peritonitis with abscesses and adhesions visible and Escherichia Coli isolated at autopsy. In the transvaginal group, a cholecystectomy was performed without technical problems in all animals. No signs of postoperative sepsis nor growth in the microbiologic samples were recorded. In conclusion, the transvaginal approach seemed to be safer and produced less intra-abdominal contamination and sepsis, compared to the transgastric approach. Although both transgastric tubal ligation and oophorectomy and transvaginal cholecystectomy were feasible using equipment and accessories currently available for conventional endoscopy, new procedure-specific instruments and equipment should be developed to allow the operator safer access into the peritoneum.
    MeSH term(s) Animals ; Cholecystectomy/adverse effects ; Colpotomy/adverse effects ; Endoscopes ; Equipment Contamination ; Female ; Gastrostomy/adverse effects ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Ovariectomy/adverse effects ; Sterilization, Tubal/adverse effects ; Surgical Wound Infection/etiology ; Swine
    Language English
    Publishing date 2009-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381909-4
    ISSN 1092-6429
    ISSN 1092-6429
    DOI 10.1089/lap.2009.0007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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