Paediatric adenotonsillectomy as a daycase for obstructive sleep apnoea: How we do it in a tertiary unit

被引：10

作者：

Cooper, Lilli ^{[1
]}

Ford, Kathryn ^{[2
]}

Bajaj, Yogesh ^{[3
]}

机构：

[1] Barts Childrens & Royal London Hosp, Surg CT1, London E1 1BB, England

[2] Kings Coll Hosp London, Surg CT1, London SE5 8RX, England

[3] Barts Childrens & Royal London Hosp, London E1 1BB, England

来源：

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2013年 / 77卷 / 11期

关键词：

Adenotonsillectomy; Daycase; Child; Obstructive sleep apnoea; CHILDREN; TONSILLECTOMY; ADENOIDECTOMY; COMPLICATIONS; RISK;

D O I：

10.1016/j.ijporl.2013.08.036

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: Paediatric adenotonsillectomy is a common ENT operation. Daycase surgery for uncomplicated, elective procedures is encouraged in order to improve efficiency in healthcare. For patients with obstructive sleep apnoea (USA), most units advocate an overnight stay for adenotonsillectomy, a procedure usually performed as a daycase in other contexts. Methods: A retrospective casenote review was carried out from 1st December 2011 to 1st December 2012 for all children undergoing daycase adenotonsillectomy for treatment of USA at Bart's Children's and the Royal London Hospital. Results: 250 children underwent adenotonsillectomies for USA as daycase procedures over twelve months. 6% had immediate, unplanned overnight admissions. 3% were readmitted within 30 days. No patients readmitted required surgical intervention. Conclusion: For an appropriately selected child, adenotonsillectomy can be safely performed as a daycase procedure in a tertiary centre. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

引用

页码：1877 / 1880

页数：4

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