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  1. Article ; Online: Will Women's Careers Survive COVID-19?

    Sibert, Karen S.

    ASA Monitor

    2020  Volume 84, Issue 9, Page(s) 20–21

    Keywords covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ISSN 2380-4017
    DOI 10.1097/01.asm.0000716964.40386.73
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article: Will Clinical Practice Guidelines Protect Against Malpractice Risk?

    Sibert, Karen S

    Maryland medicine : MM : a publication of MEDCHI, the Maryland State Medical Society

    2015  Volume 16, Issue 1, Page(s) 12–14

    MeSH term(s) Evidence-Based Medicine/standards ; Malpractice/legislation & jurisprudence ; Malpractice/statistics & numerical data ; Malpractice/trends ; Physicians/legislation & jurisprudence ; Practice Guidelines as Topic ; Risk
    Language English
    Publishing date 2015
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2015898-1
    ISSN 1538-2656 ; 0025-4363
    ISSN 1538-2656 ; 0025-4363
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5309: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Extubation and the Risks of Coughing and Laryngospasm in the Era of Coronavirus Disease-19 (COVID-19).

    Sibert, Karen S / Long, Jennifer L / Haddy, Steven M

    Cureus

    2020  Volume 12, Issue 5, Page(s) e8196

    Abstract: The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation. However, the ... ...

    Abstract The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation. However, the fear of provoking laryngospasm may cause avoidance of deep or sedated extubation techniques which could reduce coughing and infection risk. This fear may be alleviated with clear understanding of the mechanisms and effective management of post-extubation airway obstruction including laryngospasm. We review the dynamic function of the larynx from the vantage point of head-and-neck surgery, highlighting two key concepts: 1. The larynx is a complex organ that may occlude reflexively at levels other than the true vocal folds; 2. The widely held belief that positive-pressure ventilation by mask can "break" laryngospasm is not supported by the otorhinolaryngology literature. We review the differential diagnosis of acute airway obstruction after extubation, discuss techniques for achieving smooth extubation with avoidance of coughing and expectoration of secretions, and recommend, on the basis of this review, a clinical pathway for optimal management of upper airway obstruction including laryngospasm to avoid adverse outcomes.
    Keywords covid19
    Language English
    Publishing date 2020-05-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.8196
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Extubation and the Risks of Coughing and Laryngospasm in the Era of Coronavirus Disease-19 (COVID-19)

    Sibert, Karen S. / Long, Jennifer L. / Haddy, Steven M.

    Cureus

    Abstract: The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation However, the ... ...

    Abstract The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation However, the fear of provoking laryngospasm may cause avoidance of deep or sedated extubation techniques which could reduce coughing and infection risk This fear may be alleviated with clear understanding of the mechanisms and effective management of post-extubation airway obstruction including laryngospasm We review the dynamic function of the larynx from the vantage point of head-and-neck surgery, highlighting two key concepts: 1 The larynx is a complex organ that may occlude reflexively at levels other than the true vocal folds;2 The widely held belief that positive-pressure ventilation by mask can "break" laryngospasm is not supported by the otorhinolaryngology literature We review the differential diagnosis of acute airway obstruction after extubation, discuss techniques for achieving smooth extubation with avoidance of coughing and expectoration of secretions, and recommend, on the basis of this review, a clinical pathway for optimal management of upper airway obstruction including laryngospasm to avoid adverse outcomes
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #348024
    Database COVID19

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  5. Article ; Online: Extubation and the Risks of Coughing and Laryngospasm in the Era of Coronavirus Disease-19 (COVID-19).

    Sibert, Karen S / Long, Jennifer L / Haddy, Steven M

    Cureus, vol 12, iss 5

    2020  

    Abstract: The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation. However, the ... ...

    Abstract The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation. However, the fear of provoking laryngospasm may cause avoidance of deep or sedated extubation techniques which could reduce coughing and infection risk. This fear may be alleviated with clear understanding of the mechanisms and effective management of post-extubation airway obstruction including laryngospasm. We review the dynamic function of the larynx from the vantage point of head-and-neck surgery, highlighting two key concepts: 1. The larynx is a complex organ that may occlude reflexively at levels other than the true vocal folds; 2. The widely held belief that positive-pressure ventilation by mask can "break" laryngospasm is not supported by the otorhinolaryngology literature. We review the differential diagnosis of acute airway obstruction after extubation, discuss techniques for achieving smooth extubation with avoidance of coughing and expectoration of secretions, and recommend, on the basis of this review, a clinical pathway for optimal management of upper airway obstruction including laryngospasm to avoid adverse outcomes.
    Keywords aerosol-generating procedures ; covid-19 ; deep extubation ; extubation ; functional anatomy of the larynx ; laryngospasm ; novel coronavirus ; partial airway obstruction ; stridor ; upper airway obstruction ; Medical and Health Sciences ; covid19
    Subject code 610
    Publishing date 2020-05-19
    Publisher eScholarship, University of California
    Publishing country us
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: An unusual cause of airway obstruction in a patient in the endoscopy suite.

    Dhoon, Taizoon Q / Gerber, Jennifer L / Tran, Thuy B / Mahtabifard, Ali / Sibert, Karen S

    A & A case reports

    2014  Volume 3, Issue 2, Page(s) 15–19

    Abstract: A 74-year-old man presented for outpatient endoscopy because of dysphagia and the sensation of a mass in the back of his throat. Esophagogastroduodenoscopy demonstrated a soft tissue mass in the proximal esophagus that prolapsed into the hypopharynx on ... ...

    Abstract A 74-year-old man presented for outpatient endoscopy because of dysphagia and the sensation of a mass in the back of his throat. Esophagogastroduodenoscopy demonstrated a soft tissue mass in the proximal esophagus that prolapsed into the hypopharynx on withdrawal of the endoscope. Complete airway obstruction ensued, requiring emergent tracheotomy. The patient was transferred to the hospital for further treatment. Surgical resection revealed a rare giant fibrovascular polyp, which may be associated with asphyxiation and sudden death.
    Language English
    Publishing date 2014-07-15
    Publishing country United States
    Document type Journal Article
    ISSN 2325-7237
    ISSN (online) 2325-7237
    DOI 10.1213/XAA.0000000000000040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Tumors at the aortoiliac/inferior vena cava bifurcation: preoperative, anesthetic, and intraoperative considerations.

    Ouellette, James R / Cossman, David V / Sibert, Karen S / Mcandrew, Nicholas P / Silberman, Allan W

    The American surgeon

    2007  Volume 73, Issue 5, Page(s) 440–446

    Abstract: Primary and recurrent retroperitoneal tumors can involve the aortoiliac vasculature. They are often considered inoperable or incurable because of the locally advanced nature of the disease or the technical aspects involved in safely resecting the lesion. ...

    Abstract Primary and recurrent retroperitoneal tumors can involve the aortoiliac vasculature. They are often considered inoperable or incurable because of the locally advanced nature of the disease or the technical aspects involved in safely resecting the lesion. Safe resection of these lesions requires experience and extensive preoperative planning for success. A retrospective database review of 76 patients with retroperitoneal tumors identified tumors involving major vascular structures in the abdomen and pelvis undergoing resection of tumor en bloc with the aortoiliac vasculature. Preoperative planning and intraoperative technical maneuvers are reviewed. Patients were followed until time of this report. Four patients with retroperitoneal tumors involving the aortoiliac vessels underwent surgery: two patients with sarcoma (one primary and one recurrent), one with metastatic renal cell carcinoma, and one with a paraganglioma. All patients had resection of the aorta and vena cava or the iliac artery and vein. Arterial reconstruction (anatomic or extra-anatomic) was performed in all cases. The patient with renal cell carcinoma also required venous reconstruction to support a renal autotransplant. Veno-venous bypass was required in one patient. Local control was achieved in 3 of 4 cases. Surgery for retroperitoneal tumors involving major vascular structures is technically feasible with appropriate planning and technique. Multiple disciplines are required, including general surgical oncology, vascular surgery, and possibly, cardiothoracic surgery.
    MeSH term(s) Adult ; Aorta, Abdominal ; Carcinoma, Renal Cell/blood supply ; Carcinoma, Renal Cell/secondary ; Carcinoma, Renal Cell/surgery ; Female ; Humans ; Kidney Neoplasms/pathology ; Male ; Middle Aged ; Paraganglioma/blood supply ; Paraganglioma/pathology ; Paraganglioma/surgery ; Retroperitoneal Neoplasms/blood supply ; Retroperitoneal Neoplasms/pathology ; Retroperitoneal Neoplasms/surgery ; Sarcoma/blood supply ; Sarcoma/pathology ; Sarcoma/surgery ; Vascular Surgical Procedures/methods ; Vena Cava, Inferior
    Language English
    Publishing date 2007-05
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.106: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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