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

被引：9
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
收藏
页码：1877 / 1880
页数：4
相关论文
共 50 条
  • [31] An enhanced recovery programme improves the comfort and outcomes in children with obstructive sleep apnoea undergoing adenotonsillectomy: A retrospective historical control study
    Zhang, Yu
    Liu, Dawei
    Chen, Xiumei
    Ma, Jiahai
    Song, Xicheng
    CLINICAL OTOLARYNGOLOGY, 2021, 46 (01) : 249 - 255
  • [32] Postoperative respiratory and analgesic effects of dexmedetomidine or morphine for adenotonsillectomy in children with obstructive sleep apnoea
    Zhuang, P. J.
    Wang, X.
    Zhang, X. F.
    Zhou, Z. J.
    Wang, Q.
    ANAESTHESIA, 2011, 66 (11) : 989 - 993
  • [33] Randomised comparative study of adenotonsillectomy by conventional and coblation method for children with obstructive sleep apnoea
    Paramasivan, Vijaya Krishnan
    Arumugam, Senthil Vadivu
    Kameswaran, Mohan
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 (06) : 816 - 821
  • [34] The nasopharyngeal prong airway: An effective post-operative adjunct after adenotonsillectomy for obstructive sleep apnoea in children
    Tweedie, D. J.
    Skilbeck, C. J.
    Lloyd-Thomas, A. R.
    Albert, D. M.
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2007, 71 (04) : 563 - 569
  • [35] Is nurse-led telephone follow-up for post-operative obstructive sleep apnoea patients effective? A prospective observational study at a paediatric tertiary centre
    Walijee, Hussein
    Sood, Salil
    Markey, Anne
    Krishnan, Madhankumar
    Lee, Anita
    De, Sujata
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2020, 129
  • [36] The risk for paediatric obstructive sleep apnoea in rural Queensland
    Fischer, Marguerite A.
    Karadeniz, Ersan I.
    Flores-Mir, Carlos
    Lindsay, Daniel
    Karadeniz, Carmen
    AUSTRALASIAN ORTHODONTIC JOURNAL, 2021, 37 (02): : 197 - 205
  • [37] Paediatric obstructive sleep apnoea: is a polysomnogram always necessary?
    Pang, KP
    Balakrishnan, A
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2004, 118 (04) : 275 - 278
  • [38] Effects of adenotonsillectomy on the growth of children with obstructive sleep apnoea-hypopnea syndrome (OSAHS): protocol for a systematic review
    Hua, Fang
    Zhao, Tingting
    Walsh, Tanya
    Sun, Qiao
    Chen, Xiong
    Worthington, Helen
    Jiang, Fan
    He, Hong
    BMJ OPEN, 2019, 9 (08):
  • [39] Pre-operative overnight pulse oximetry to predict high dependency unit intervention in children undergoing adenotonsillectomy for obstructive sleep apnoea
    Lightbody, K. A.
    Kinshuck, A. J.
    Donne, A. J.
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2014, 128 (04) : 360 - 364
  • [40] Paediatric obstructive sleep apnoea: can our identification of surgical candidates be evidence-based?
    Pabla, L.
    Duffin, J.
    Flood, L.
    Blackmore, K.
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2018, 132 (04) : 284 - 292
12345