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...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news

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Objectives/HypothesisTo study rates of respiratory complications/interventions among inpatient tonsillectomy patients in the United States and identify risk factors for these events.Study DesignRetrospective database review.MethodsChildren (age  
Source: The Laryngoscope - Category: ENT & OMF Authors: Tags: Pediatrics Source Type: research
CONCLUSION: Lower parent anxiety and higher child social functioning were predictive of higher parental satisfaction scores. PMID: 30375746 [PubMed - in process]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
Conclusion This study highlights the variability in the distribution of time intervals from discharge to readmission among diagnoses, suggesting the commonly used 28- or 30-day readmission measurement requires review. It is crucial to establish an appropriate measurement for specific paediatric conditions related to readmissions for the accurate determination of the prevalence and actual costs associated with readmissions.What is known about this topic? Unplanned hospital readmissions result in inefficient use of health resources. Australia has used 28 days to measure unplanned readmissions. However, the 30-day measurement...
Source: Australian Health Review - Category: Hospital Management Authors: Tags: Aust Health Rev Source Type: research
ynh N Abstract PURPOSE: To determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms. METHODS: The clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS)....
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
AbstractPurposeTo determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms.MethodsThe clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS).ResultsA total of 4000 chi...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
To the Editor The conclusion by Byars et al that the children who have had adenoidectomy and/or tonsillectomy are at a greater lifetime risk of airway disease may be supported by their data; however, their implication that surgery is causally related to this incidence is unfounded.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
In Reply Four main issues were raised by Kitipornchai and Mackay and L üscher et al. All of them appear invalid as challenges of our main results.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
Rates of pediatric tonsillectomy and adenoidectomy vary widely. One factor that may influence utilization is the availability of freestanding ambulatory surgery centers (ASCs). Previous studies suggest that ASCs drive the overutilization of some elective surgical procedures in adults. We aimed to determine whether access to freestanding, non-hospital owned ASCs is associated with higher utilization of pediatric tonsillectomy and/or adenoidectomy (T/A).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Scientific poster presentations Source Type: research
Dexmedetomidine is a highly selective α2 receptor agonist, this study aimed to investigate the effects of different doses of intranasal dexmedetomidine on the preoperative sedation and postoperative agitation in pediatric with total intravenous anesthesia (TIVA) for adenoidectomy with or without tonsillectomy. This is a double-blind placebo-controlled randomized trial. Pediatric were randomly divided into the D1, D2, and S groups, each group contained 30 patients. Twenty-five to 40 minutes before surgery, the D1 and D2 groups received intranasally dexmedetomidine 1 μg kg−1 or 2 μg kg−1, res...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Conditions:   Postoperative Pain;   Postoperative Nausea;   Satisfaction;   Sleep;   Postoperative Complications Intervention:   Dietary Supplement: Carbohydrate drink Sponsor:   Jessica Gray Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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