Abstract：
BACKGROUND:Methemoglobinemia is a potentially life-threatening complication of local anesthetic sprays employed in upper endoscopy. There is limited information available on the incidence of this complication, and no prospective trial has ever undertaken to evaluate subclinical levels of methemoglobinemia. OBJECTIVE:To evaluate the incidence of subclinical methemoglobinemia in patients exposed to anesthetic spray. METHODS:Subjects were randomized to a "spray" or "no-spray" group. Subjects in the "spray" group received a 1-second benzocaine spray before upper endoscopy. All subjects in both groups were monitored with a noninvasive co-oximetry device capable of detecting methemoglobin levels in real time. RESULTS:401 subjects were enrolled (209 in the study group, 192 in the control group); mean peak methemoglobin concentrations were 0.82% (CI 0.74-0.90%, SD 0.57%) and 0.80% (CI 0.73-0.86%, SD 0.46%) respectively. There was no statistically significant difference between the two groups (p = 0.69). Only 3 (1.4%) subjects in the study group and 2 (1%) subjects in the control group had a peak methemoglobin concentration >2%. CONCLUSIONS:In this randomized clinical trial, no significant elevation of methemoglobin concentration was observed in any subject. Final analysis failed to demonstrate any statistically significant difference between the two groups.
journal_name
Mil Medjournal_title
Military medicineauthors
Hall NM,Jones FJ,Ainsworth CR,Fincher RKdoi
10.7205/MILMED-D-13-00035subject
Has Abstractpub_date
2013-06-01 00:00:00pages
701-4issue
6eissn
0026-4075issn
1930-613Xjournal_volume
178pub_type
杂志文章,随机对照试验abstract：:Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00536
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:Army vision standards have varied little from Aviation's nominal birth. On the basis of classic Snellen acuity, we simply cannot predict threshold skill levels of any one individual(s). A growing number of Army Flight Surgeons, clinicians, and vision scientists have argued for the inclusion of contrast acuit...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00208
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:To assess the impact of relaxed asthma recruitment standards adopted by the Australian Defence Force in 2007. METHODS:A retrospective audit was conducted on clinical and administrative data for recruits, with and without mild asthma, in their first year of service. RESULTS:There was no evidence that mild as...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00009
更新日期：2014-11-01 00:00:00
abstract：:Leishmania infections in American veterans of Iraq and Afghanistan have raised concern that veterans could serve as reservoirs of Old World parasites for domestic vector populations. A survey of sand flies on three U.S. Army facilities in the southern United States was conducted to identify potential vectors. Five spe...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-00-4309
更新日期：2009-11-01 00:00:00
abstract：:A retrospective audit of 17,028 emergency charts at USAF Medical Center, Scott was performed over two time periods to compare patient waiting times and selected quality assurance parameters with two methods of physician staffing. Phase 1 consisted of 4 months when the Emergency Department (ED) was manned with five phy...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：Introduction:Smallpox, or vaccinia, has been eradicated worldwide as a disease; however, it may be weaponized and is thus a required immunization when military members deploy to certain parts of the world. Materials and Methods:We report two unusual cases of genital autoinoculation following smallpox vaccination. Res...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usx089
更新日期：2018-05-01 00:00:00
abstract：:This study evaluated the noise attenuation of earplugs and earmuffs or their combined use against heavy weapon noise in field conditions for military personnel. The noise attenuation was measured with a miniature microphone inserted into the ear canal. The subjects (13) were tested against pink noise and against the n...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：:The study determines the extent to which payment thresholds for reporting malpractice claims to the National Practitioner Data Bank identifies substandard health care delivery in the Department of Defense. Relevant data were available on 2,291 of 2,576 medical malpractice claims reported to the closed medical malpract...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:Between 1954 and 1973, more than 2000 men entering military service as conscientious objectors participated in Project Whitecoat as medical research volunteers for the Army's biological warfare defense program. An assessment of self-reported, current health status among 358 "exposed" individuals and 164 unexposed cont...
journal_title：Military medicine
pub_type： 历史文章,杂志文章
doi：10.7205/milmed.170.3.183
更新日期：2005-03-01 00:00:00
abstract：PURPOSE:The objective of this study is to directly compare different types of cervical artificial disc implants using an in vivo model capable of simulating the axial load on a neck that is similar to the human neck. METHODS:Cervical arthroplasty was performed at C3-4 in 14 healthy female adult Alpine goats. The goats...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy395
更新日期：2019-03-01 00:00:00
abstract：:In response to the end of the cold war, the United States developed new foreign policy and national security strategies. As a result, many medical support concepts that were operative during the cold war were invalidated. Recently, the Chairman of the Joint Chiefs of Staff provided direction and guidance for long-rang...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 00:00:00
abstract：:Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00257
更新日期：2016-04-01 00:00:00
abstract：:The prevalence of traumatic event exposure and post-traumatic stress disorder (PTSD) were surveyed in a cohort of 198 full-time operational members of the South African National Defence Force stationed in their "home" unit between deployments. Approximately 90% of members reported having experienced or witnessed traum...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Our purpose was to demonstrate the consistency of radiologists' three-dimensional measurements of simulated blast fragment locations in vitro in an effort to objectively localize retained fragments and wound paths. We designed a phantom consisting of 10 nail heads (simulating blast fragments) glued to wooden pegs that...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00058
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00207
更新日期：2016-05-01 00:00:00
abstract：:This study identified chemical and environmental exposures specifically associated with the 1991 Persian Gulf War. Exposures were self-reported in a postal questionnaire, in the period of 2000-2002, by 1,424 Australian male Persian Gulf War veterans in relation to their 1991 Persian Gulf War deployment and by 625 Pers...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.7.632
更新日期：2006-07-01 00:00:00
abstract：:Non-cardiogenic pulmonary edema (NCPE) is a rare entity manifested by pulmonary edema with normal pulmonary arterial pressures. NCPE has been described in children and recently reported in adults. Onset is rapid and late recognition or inappropriate treatment may lead to a fatal outcome. Most adult cases have been att...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:We report a case of a midair collision between two F16 fighter aircraft, in which one pilot survived and the other was ejected upon impact and his remains recovered from sea. In autopsy, no patholgy was detected, other than the expected evidence of mechanical trauma. No defects in the aircraft or faults in the parachu...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00027
更新日期：2010-11-01 00:00:00
abstract：:When the patent on fluoxetine expired in 2001, prices for it fell sharply and marketing decreased. We investigated how market share for fluoxetine changed with the introduction of the generic. Prescribing information was tracked at a military hospital where providers knew the cost of medication, but were not compelled...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.1.100
更新日期：2008-01-01 00:00:00
abstract：:This study examined the impact of a history of childhood abuse and neglect on soldiers' adaptation to Army life including commitment to the Army, confidence in leaders, and perceptions of unit cohesion and readiness. Childhood abuse and neglect were measured by the 30-item Childhood Trauma Questionnaire (CTQ) which co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：:Between 2006 and 2012, the Department of Defense trained thousands of military mental health providers in the use of evidence-based treatments for post-traumatic stress disorder. Most providers were trained in multiday workshops that focused on the use of Cognitive Processing Therapy and Prolonged Exposure. This study...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00072
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION:The U.S. Navy Medicine has a long history of conducting global health missions that foster international diplomacy through medical knowledge exchange with a goal of increasing partner nation's health care capacity. Pacific Partnership is an annual U.S. Navy-sponsored joint operation that enhances medical c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa499
更新日期：2021-01-25 00:00:00
abstract：OBJECTIVE:The present study evaluated the factors that contribute to stress and the psychological difficulties of the Italian military component of the United Nations Mission in Bosnia and Herzegovina. This group was compared with a homogeneous group stationed in Italy. METHODS:A cross-sectional study was performed in...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
abstract：:Trauma disclosure is the initial step toward healing trauma-related distress. This study used qualitative methods to better understand factors facilitating and inhibiting change in the disclosure process. Fifty-six veterans were interviewed about their disclosure experiences between August 2004 and 2005. Emerging them...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00054
更新日期：2010-10-01 00:00:00
abstract：:Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.10.1125
更新日期：2007-10-01 00:00:00
abstract：:The National Academies of Sciences, Engineering, and Medicine Report on Zero Preventable Deaths highlighted the need for a military and civilian partnership to take lessons learned from the wars in Iraq and Afghanistan and incorporate them into a national learning trauma care system. One of the specific objectives in ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy149
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Cervical spine clearance requires clinicians to assess the reliability of physical examination based on a patient's mental status and distracting injuries. Distracting injuries have never been clearly defined in military casualties. METHODS:Retrospective review was conducted of patients entered into Departm...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00635
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa423
更新日期：2021-01-25 00:00:00
abstract：:A complete dental examination is the basis for identifying the dental readiness of Air Force Reserve Command members. Historically, these were done on an infrequent basis. Recently, an annual dental examination has been mandated for all military members. Current dental personnel manning and resources are not sufficien...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.1.26
更新日期：2005-01-01 00:00:00
