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THRIVE: redefining airway management in endoscopic oesophageal surgery

Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) is no longer just a tool to help anaesthetists secure a difficult airway. Thanks to the work of authors like Yang and colleagues, it is being revolutionised to provide apnoeic oxygenation during endoscopic...

Interacoustics: Trends in Balance

I recently attended the 4th Annual Trends in Balance online course. Day one was optimizing the vestibular diagnostic test battery, day two looked at the functional balance assessments available and day three looked at vestibular rehabilitation.

Speculating on saliva during endoscopy

It has been noted that the presence of saliva in the pharynx and larynx during flexible endoscopic evaluation of swallowing (FEES) can be an indicator of increased risk of aspiration and consequent pneumonia, as well as weight loss and malnutrition....

Analysing videofluroscopy: does it matter how it’s done?

Videofluoroscopy, as a tool that assesses the process of swallowing, has transformed our understanding of dysphagia. Clinicians can observe the biomechanics of a bolus moving from the oral cavity through the pharynx and oesophagus and into the stomach. Over the...

Tele-audiometry – a ShoeBOX solution

Access to hearing assessment is a global challenge. In relation to the global burden of hearing loss World Health Organisation’s (WHO’s) recent estimate (2013) is that 360 million people in the world have disabling hearing impairment. Two-thirds of these people...

Can junior doctors provide immediate help in airway and other ENT emergencies?

In the present trends for centralisation of ENT emergency services, availability of immediate middle grade or senior help in acute ENT emergencies does not always exist on site and hence the role of junior doctors in handling this is enhanced...

Assessing post-extubation dysphagia on the intensive care unit

The incidence of post-extubation dysphagia (PED) is reported to be about 12% in the general ICU population and around 18% in patients admitted to ICU as emergencies. PED was found to be an independent predictor of 28-day and 90-day mortality....

Audiology in this issue...Current Topics in Tinnitus

Prof David Baguley, PhD, MBA,Professor of Hearing Sciences, NIHR Nottingham Biomedical Research Centre, University of Nottingham; Division of Clinical Neuroscience, School of Medicine, University of Nottingham; Nottingham Audiology Services, Nottingham University Hospitals Trust, Nottingham, UK. Until really quite recently, the...

Audiology in this issue...Age-related Hearing Loss and Dementia

GUEST SECTION EDITOR Barbara E Weinstein, PhD, Professor and Founding Executive Officer Health Sciences Doctoral Programs, Graduate Center, CUNY, Adjunct Assistant Professor of Medicine, NYU Langone Medical Center, New York, USA. E: bweinstein@gc.cuny.edu The prevalence of dementia is escalating worldwide,...

A path to leadership

In this article we learn more about the Ruth Thomsen’s journey in audiology and healthcare science, exploring the opportunities on the road less travelled. “Two roads diverged in a wood, and I—I took the one less traveled by,And that has...

Call to action: dysphagia matters

Dysphagia profoundly impacts quality of life. Multidisciplinary research, like the POuCH study, aims to improve understanding, diagnosis and treatment. We take for granted the simple joys of life – meeting over a cup of coffee, breaking bread with friends or...

Hearing screening during childhood using speech and sounds in noise

Although there is high prevalence of late-onset, progressive, and acquired hearing losses during childhood, these hearing losses can easily go undetected due to the lack of systematic hearing screening beyond newborn hearing screening. In this article, the authors share the...