Think Twice About Tonsil, Adenoid Removal
THURSDAY, June 7, 2018 -- Having tonsils removed in childhood is supposed to end chronic earaches and breathing problems. But what if it also increases risk of respiratory infections? " We found that long-term risks of diseases -- in particular...
Abstract BACKGROUND: Research has improved practitioner awareness of the impact of individual characteristics on responses to painful procedures. However, there is little data relating pre-existing temperament profiles and post-surgical/anesthesia outcomes in pediatric patients. In particular, it is not clear how best to identify which patients are at risk of poor post-surgical outcomes. AIM: In this prospective study, we examined relationships between preoperative measures of child temperament and post-operative pain/behavioral outcomes of children undergoing tonsillectomy/adenoidectomy surgeries. We sought ...
Conditions: Children, Only; Tonsillar Hypertrophy; Adenoid Hypertrophy Interventions: Drug: Lidocaine Iv; Drug: Saline Solution Sponsor: Rhode Island Hospital Not yet recruiting
CONCLUSIONS: The role of the anesthesiologist is pediatric OSAS is crucial before, during and after surgery, as pediatric patients are at higher risk of preoperative, perioperative and postoperative adverse events including airway obstruction, PONV, and bleeding. PMID: 30920637 [PubMed - in process]
CONCLUSIONS: Otolaryngologic assessment is of paramount importance to correctly classify a child with OSA. Correct inspection of the upper airway and quantification of the quality of sleep through polysomnography lead to the right therapeutic choice. Knowledge of different surgical techniques helps to deal with residual OSA after studying the obstruction sites by drug-induced sedation endoscopy. PMID: 30920635 [PubMed - in process]
CONCLUSION: Cold dissection is still the preferred surgical modality for adenotonsillectomy, while both suture ligation and electrocautery are used for haemostasis. Paediatric adenotonsillectomy is likely to generate anxiety in ENT surgeons, and the possibility of secondary post-tonsillectomy bleeding increases the anxiety levels of surgeons in the post-operative period. PMID: 30907332 [PubMed - as supplied by publisher]
Conditions: Tonsillectomy; Adenoidectomy Interventions: Drug: Intravenous acetaminophen; Other: Normal saline Sponsor: Children's Hospital Medical Center, Cincinnati Not yet recruiting