Tonsillectomy May Worsen Long-term Health Outcomes Tonsillectomy May Worsen Long-term Health Outcomes

Removal of tonsils, adenoids before age 9 years may have long-term health consequences, including increased risk for upper respiratory tract diseases and infections, a population-based study showed.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: News Source Type: news

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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 ...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
Conditions:   Children, Only;   Tonsillar Hypertrophy;   Adenoid Hypertrophy Interventions:   Drug: Lidocaine Iv;   Drug: Saline Solution Sponsor:   Rhode Island Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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]
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
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]
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
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]
Source: Journal of Laryngology and Otology - Category: ENT & OMF Tags: J Laryngol Otol Source Type: research
Conditions:   Tonsillectomy;   Adenoidectomy Interventions:   Drug: Intravenous acetaminophen;   Other: Normal saline Sponsor:   Children's Hospital Medical Center, Cincinnati Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Adenoidectomy | Adenoids | Health | Respiratory Medicine | Study | Tonsillectomy and Adenoidectomy | Tonsillitis