Electronic nasopharyngoscopy and electronic laryngoscopy.
1.Fast food and water for 4 hours before the examination.
2.1-2 parents need to accompany to assist the examination.
3, combined with acute diseases (acute laryngitis, bronchitis, etc.) or changes in condition (such as fever, breathing difficulties, etc.), the examining physician should be informed before the examination.
4, combined with other diseases (such as heart disease, epilepsy, etc.), the examining doctor should be informed before the examination. Pan Hongguang, Department of Otolaryngology, Shenzhen Children’s Hospital
5.Nose, throat and pharynx surface anesthesia is required before the examination, and there is a possibility of allergy to anesthetics; inform the examining doctor or nurse of any discomfort.
6.When the surface anesthesia of the mucous membrane of the pharynx and throat, spit out the saliva in the mouth before spraying the anesthetic to facilitate the absorption of the anesthetic through the mucous membrane. The anesthetic is contained in the mouth and should not be swallowed.
7.According to the examination site and age, try to drink water 0.5-2h after the examination, no choking and coughing before eating and drinking.
Polysomnography monitoring.
1.Shower and wash your hair 1-2 days before the examination to facilitate electrode adhesion.
2.No sedative-hypnotic drugs, if your condition requires that you are taking them, please inform your doctor.
3.Drinks with excitatory effects such as coffee and tea are prohibited several hours before the examination.
4, avoid strenuous exercise, so as not to affect sleep.
5.Keep your nose open, if you have a cold, or sinusitis, nasal polyps, etc. should inform the doctor in advance.
6.Sleep as little as possible during the day to facilitate sleep at night.
7.Take as little liquid food and water as possible during the day, and try not to get up at night.
8.Pajamas must be able to be untied from the front to facilitate examination.
9.Please arrive at the monitoring room before 7:30 pm and wait for the doctor to stop monitoring after waking up in the morning.
10.One parent is required to accompany you.
Negative nasal pressure replacement therapy.
1.Patients who experience severe headache or earache during or after the replacement treatment should inform the doctor and nurse before and after the treatment.
2. Patients with high fever, acute sinusitis or acute exacerbation of chronic sinusitis need to follow medical advice for treatment.
3.Patients with rhinorrhea and hypertension are not suitable for negative pressure sinus replacement treatment for the time being.
4.Nasal tumor is not suitable for negative pressure replacement therapy.
5.Negative pressure replacement therapy is not suitable for local or systemic bleeding diseases.
Cerumen rinsing.
This treatment has certain risks and requires the understanding of parents. Children who cannot cooperate need full assistance from their parents to avoid external ear canal and middle ear damage.
Abscess incision and drainage or trauma debridement and suturing treatment Precautions.
1. This treatment is invasive and will leave a scar after surgery.
2. Follow-up treatment is needed after the abscess is excised or sutured.
3. If the child has other blood disorders, he/she should inform the doctor.
4.After trauma, if the child has headache, vomiting, unconsciousness and other symptoms, he/she should inform the doctor during the consultation.
Nebulizer inhalation treatment.
1, divided into nasal nebulizer inhalation and pharyngeal nebulizer inhalation.
2. Keep calm breathing during treatment.
3.When there is lower respiratory tract infection, you can breathe deeply.
4.After nebulizer inhalation, rinse your mouth with drinking water, wash your face or use a wet towel to wipe off the fog beads on the skin of the mouth and nose.
Desensitization treatment.
1.Avoid contact with allergens as much as possible.
2.Before desensitization treatment, a doctor should evaluate the patient’s condition (such as age, whether combined with other diseases, lung function, etc.) to determine whether it is suitable for desensitization treatment. The dosage form, dose, method of use and course of treatment should be determined.
3. Skin tests and desensitization injections should be performed by medical professionals, and the treatment room should have resuscitation facilities.
4.After each injection, observe at least half an hour in the treatment room, pay attention to any redness, swelling, itching, throat discomfort, breathing difficulty, panic, etc., and inform the doctor or nurse of the symptoms at any time.
5. Make detailed records after each injection for the medical staff to decide the next desensitization treatment plan.
6.Desensitization treatment is slow in effect, and desensitization treatment should be combined with anti-inflammatory drugs or anti-allergy medication at the beginning of desensitization treatment in order to achieve better clinical efficacy; then gradually stop using medication under the guidance of the doctor.
7. The course of desensitization treatment is long and should be carried out regularly at intervals and should not be stopped on its own.
8.During desensitization treatment, if other diseases are combined or immunizations are needed, the doctor or nurse should be informed.
9. Suitable for children over 6 years old.
Hearing examination.
I. Pure tone audiometry.
1.Before the examination, the doctor is required to have confirmed that there is no cerumen embolism in the external ear canal.
2. Subjects should be removed from the noisy environment for 12 to 48 hours.
3. Pay attention to the doctor’s introduction of the testing process so that it can truly reflect the hearing results.
4.Take a 5-minute break before the test to maintain emotional stability and remove headgear and earrings.
5.First familiarize yourself with the sound emitted in the headphones and respond (press the button of the signal device).
6, in the test process, as long as you hear the test sound in the headphones, even if it is very slight, you should immediately respond.
7, pay attention to the test process only one ear at a time, both ears are tested separately, the tone from low to high.
8. Do not speak freely during the test. If you have any questions, you should raise your hand first and then talk to the doctor after he or she agrees.
II. Acoustic conductance resistance, otoacoustic emission, rapid auditory evoked potential hearing test.
1.Before the examination, the doctor has confirmed that there is no cerumen embolism in the external ear canal.
2.Keep quiet or check during sleep, and need to sleep under sedation if you cannot cooperate with the examination.
Auditory evoked potentials and steady-state evoked potentials.
1. Before the examination, the doctor has confirmed that there is no cerumen embolism in the external ear canal.
2. Sedation and sleep are required before the examination.
3. Try to sleep as little as possible before the examination so that it is easy to fall asleep during the examination.
4.Cell phones and other items should not be brought into the examination room during the examination to avoid interference.