{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T21:00:38Z","timestamp":1762376438902},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118001482_sec_a1\"><jats:title>Background<\/jats:title><jats:p>The successful provision of middle-ear surgery requires appropriate anaesthesia. This may take the form of local or general anaesthesia; both methods have their advantages and disadvantages. Local anaesthesia is simple to administer and does not require the additional personnel required for general anaesthesia. In the low-resource setting, it can provide a very safe and effective means of allowing middle-ear surgery to be successfully completed. However, some middle-ear surgery is too complex to consider performing under local anaesthesia and here general anaesthesia will be required.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001482_sec_a2\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>This article highlights considerations for performing middle-ear surgery in a safe manner when the available resources may be more limited than those expected in high-income settings. There are situations where local anaesthesia with sedation may prove a useful compromise of the two techniques.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118001482","type":"journal-article","created":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T06:24:01Z","timestamp":1536128641000},"page":"34-38","source":"Crossref","is-referenced-by-count":3,"title":["Anaesthesia for ear surgery in remote or resource-constrained environments"],"prefix":"10.1017","volume":"133","author":[{"given":"B","family":"Kaur","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M P A","family":"Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Lea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,9,5]]},"reference":[{"key":"S0022215118001482_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2010.07.005"},{"key":"S0022215118001482_ref3","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3247"},{"key":"S0022215118001482_ref9","first-page":"75","article-title":"Middle ear surgery under local anaesthesia and sedation","volume":"42","author":"Eddusriya","year":"1997","journal-title":"Ceylon Med J"},{"key":"S0022215118001482_ref8","unstructured":"Diamedica. Anaesthesia. In: http:\/\/www.diamedica.co.uk\/english\/prodfam_details.cfm?id=1482 [8 June 2018]"},{"key":"S0022215118001482_ref1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1996.00814.x"},{"key":"S0022215118001482_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181ab8de2"},{"key":"S0022215118001482_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2010.07.009"},{"key":"S0022215118001482_ref5","first-page":"151","article-title":"Complications of using laryngeal mask airway during anaesthesia in patients undergoing major ear surgery","volume":"29","author":"Taheri","year":"2009","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"S0022215118001482_ref2","first-page":"421","article-title":"Anesthesia for intranasal surgery: a comparison between tracheal intubation and the flexible reinforced laryngeal mask airway","volume":"88","author":"Webster","year":"1999","journal-title":"Anesth Analg"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215118001482","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T20:40:55Z","timestamp":1555101655000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215118001482\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,5]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["S0022215118001482"],"URL":"https:\/\/doi.org\/10.1017\/s0022215118001482","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,5]]}}}