Jesper Hald

Deltager

Forsegl hullet med spongostan/rispapir og fyld op med pevisone, smelter i løbet af et døgns tid.

Her det nyeste fra AOO. Det er innovation for os;)
Among those test options, the new gold standard for reflux detection is dual pH-MII, said Jonathan M. Bock, MD, associate professor in the Department of Otolaryngology and Communication Sciences at the Medical College of Wisconsin. Benefits of dual pH-MII testing include:

Adding impedance testing to detect liquid reflux, not just acid
Ability to detect GERD and LPR, both acidic and weakly acidic, and non-acid
Detecting liquid, vapor, and mixed phases
Distinguishing between anterograde (swallowing and eating) and retrograde (reflux) bolus movement
Jonathan M. Bock, MD, shows the position of a probe used in dual pH-MII.
Jonathan M. Bock, MD, shows the position of a probe used in dual pH-MII.
In addition, the development of new single probes with pharyngeal pH and impedence sensors increases patient comfort. The sensors have the ability to do complex symptom association assessments, Dr. Bock said.

The procedure requires a nurse or nurse practitioner to assist. In addition, the patient stops the use of PPIs for one week before the procedure and a reflux symptom index is performed.

Dr. Bock walked through the probe placement procedure, which follows nasal anesthesia and includes a large sip of water to aid swallowing. When the probe is properly placed, it is secured to the nose, cheek, and behind the ear with tape. The patient wears the probe for 24 hours and the data is recorded.

A DeMeester score is used for data interpretation, which includes reflux time, the number of episodes greater than five minutes, the longest episode, and the total episodes. Computer software is used generate a report, he said.

Studies of the pH-MII testing for impedence correlate well with salivary testing for pepsin as a marker for reflux, Dr. Bock said.

“We are getting more normative data, and we really think this is adding interesting data to a challenging clinical problem,” he said.

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AAO-HNSF Annual Meeting & OTO EXPO℠ Features Firsts
Testing for Reflux Opening Doors to Improved Treatment
New Research Fuels Growth in Food Allergy
Opening Ceremony: Meeting the Challenges of Change
Regent: Helping Improve Treatments, Practice

Among those test options, the new gold standard for reflux detection is dual pH-MII, said Jonathan M. Bock, MD, associate professor in the Department of Otolaryngology and Communication Sciences at the Medical College of Wisconsin. Benefits of dual pH-MII testing include:

Adding impedance testing to detect liquid reflux, not just acid
Ability to detect GERD and LPR, both acidic and weakly acidic, and non-acid
Detecting liquid, vapor, and mixed phases
Distinguishing between anterograde (swallowing and eating) and retrograde (reflux) bolus movement
Jonathan M. Bock, MD, shows the position of a probe used in dual pH-MII.
Jonathan M. Bock, MD, shows the position of a probe used in dual pH-MII.
In addition, the development of new single probes with pharyngeal pH and impedence sensors increases patient comfort. The sensors have the ability to do complex symptom association assessments, Dr. Bock said.

The procedure requires a nurse or nurse practitioner to assist. In addition, the patient stops the use of PPIs for one week before the procedure and a reflux symptom index is performed.

Dr. Bock walked through the probe placement procedure, which follows nasal anesthesia and includes a large sip of water to aid swallowing. When the probe is properly placed, it is secured to the nose, cheek, and behind the ear with tape. The patient wears the probe for 24 hours and the data is recorded.

A DeMeester score is used for data interpretation, which includes reflux time, the number of episodes greater than five minutes, the longest episode, and the total episodes. Computer software is used generate a report, he said.

Studies of the pH-MII testing for impedence correlate well with salivary testing for pepsin as a marker for reflux, Dr. Bock said.

“We are getting more normative data, and we really think this is adding interesting data to a challenging clinical problem,” he said.

Return to index page

AAO-HNSF Annual Meeting & OTO EXPO℠ Features Firsts
Testing for Reflux Opening Doors to Improved Treatment
New Research Fuels Growth in Food Allergy
Opening Ceremony: Meeting the Challenges of Change
Regent: Helping Improve Treatments, Practice

Jeg syntes vi kollektivt skal modsætte os dette fuldstændige vanvittige gebyr for ingenting. Vi betaler ikke før, der kommer en god begrundelse for denne opkrævning.
Mvh Jesper Hald

Vi må gøre noget! Reducerer min arbejdstid væsentlig de næste tre måneder.

Locoid kutanopløsning 0,1% til natten i 3 dage vil være mit første valg.

Jeg referer til snorban. Snorkeskinner virker hos den rette pt. Friedmann 3-4!! Der findes forskellige udgaver. Dem med regulerings skrue er nok bedst. De har koniske næseudvider til alainsuff. også. Ca. 50% siges at kunne holde skinnerne ud! Der er fuld returret i 30 dage. Jeg har ingen opgørelse over hvormange der beholder dem.