Guidance Technique (guidance + technique)

Distribution by Scientific Domains

Selected Abstracts

Behaviour guidance in dental treatment of patients with autism spectrum disorder

Background., Autism spectrum disorder (ASD) is a neurodevelopmental disorder categorized into autism, pervasive developmental disorder , not otherwise specified (PDD-NOS) and Asperger syndrome. Aims., To identify factors associated with the behaviour of patients with ASD in a dental setting, use of general anaesthesia (GA), and protective stabilization. Design., The dental charts of 395 patients with ASD patients and 386 unaffected patients were reviewed. The following data were analysed: ASD diagnosis, age, gender, residence, seizure disorder, additional diagnosis (mental retardation, cerebral palsy, self-injurious behaviour or pica), medications, caries prevalence and severity, dental treatment history, behaviour, and behaviour guidance technique(s) used. Results., Within both groups, younger patients were more uncooperative. ASD patients with autism were more uncooperative than patients with PDD-NOS; patients with an additional diagnosis were also more uncooperative. ASD patients with higher caries severity, who were uncooperative or female, were more likely to require GA. Use of protective stabilization was associated with lower caries severity, presence of seizure disorder, uncooperative behaviour, male gender, or residency in a group home/institution. Conclusions., Autism spectrum disorder patients with autism, younger age and an additional diagnosis were more uncooperative. Factors associated with the use of GA and protective stabilization in patients with ASD were also identified. [source]

Ultrasound-guided technique allowed early detection of intravascular injection during an infraclavicular brachial plexus block

The reported incidence of complications after peripheral nerve blocks is generally low and varies from 0% to 5%. The injuries related to brachial plexus block are perhaps more commonly reported, than after peripheral blocks of the lower extremity nerves. Recent reports suggest that expert ultrasound guidance may reduce but not completely eliminate complications as intraneural or intravascular injection. We report a case of accidental intravascular injection of local anesthetic during infraclavicular brachial plexus block, in spite of the use of ultrasound guidance technique, and negative aspiration for blood. [source]

The Application of the Sliding Mode Controller on the Ship Roll Reduction in Random Waves Using Genetic Algorithm

Ming-Chung Fang
The paper presents the sliding mode controller technique with roll reduction function on the ship rudder to simulate ship motion in random sea. By way of the rudder operation, the trackkeeping ability of the sliding mode controller on the ship is also examined using the line-of-sight (LOS) guidance technique. To reduce computer time consumption, the optimized design parameters of sliding mode controller tuned by genetic algorithm are obtained from ship motion simulation in regular waves. Based on the present simulation results in random waves, the combined heading/roll sliding mode controller including LOS technique developed here works for either roll reduction or track-keeping while the ship is maneuvering in waves. [source]

Great auricular nerve blockade using high resolution ultrasound: a volunteer study

ANAESTHESIA, Issue 8 2010
A. Thallaj
Summary This prospective, observational volunteer study aimed to describe the appearance of the great auricular nerve using ultrasound and its blockade under ultrasound guidance. An in-plane needle guidance technique was used for blockade of the great auricular nerve with 0.1 ml mepivacaine 1%. Sensory block was evaluated by pinprick testing in comparison with the contralateral area propriae. The great auricular nerve was successfully seen in all volunteers and the tail of the helix, antitragus, lobula and mandibular angle were blocked in all cases whereas the antihelix and concha were never blocked. Ultrasound imaging of the great auricular nerve can be reliably achieved and successful blockade with minimal volumes of local anaesthetic is another example of the benefits of ultrasound-guided peripheral nerve blocks. [source]

Surgical navigation for implant placement using transtomography

Frederic Bousquet
Abstract Objectives: To present a new guidance technique using transtomography in the operating room and to test the accuracy of this surgical protocol. Material: A new concept of operating room, integrating when necessary this imagery to secure flapless procedures by intraoperative control, is described. This operating room concept, including X ray protection of the operators, is explained in addition to the transport system of the panoramic machine for its transfer to the patient who remains seated on his surgical chair. Methods: Twenty-five single-tooth edentulous patients were treated by implant placement with a flapless or a minimally invasive procedure using transtomographic navigation. The surgical protocol is explained: after the first limited drill through mucosa and bone, intraoperative transtomography is performed with a custom-made titanium guide inserted into the bone. Images show the drilling axis in three dimensions. This form of navigation allows rectifying the drill axis. We explain how this protocol respects asepsis. Results: The mean angular deviation was 2.04° in the mesiodistal direction (range: 0°,4.8°, variance: 2.88) and 2.71° in the buccal or the palatolingual direction (range: 0°,5.4°; variance: 2.63). Implant tip deviation was calculated: the mean mesiodistal tip deviation was 0.42 mm, and the mean buccal or palatolingual tip deviation was 0.5 mm. The maximum tip mesiodistal deviation was 1.08 mm and the maximum vestibular or palatolingual tip deviation was 1.22 mm. Conclusion: This protocol appears to be as accurate as other guided or navigation systems. The advantages and limitations of this technique are explained, followed by future prospects with the new 3D cone beam computed tomography developed with the same panoramic machine. [source]