Albuterol Before Tonsillectomy Protects Against Respiratory Problems Albuterol Before Tonsillectomy Protects Against Respiratory Problems

Preoperative inhaled albuterol can help protect against perioperative respiratory adverse events in young children undergoing anesthesia for tonsillectomy, according to data from the Australian REACT trial.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Medscape Today News Source Type: news

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Abstract The gold standard method of tonsillectomy is "cold steel" dissection (DT). A dissector is used to separate the tonsil and capsule from the underlying muscle layer, with diathermy / surgical ties to achieve hemostasis. It causes significant postoperative pain and risk of bleeding (return to theatre rate 1.6%). PMID: 32966706 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
CONCLUSION: We did not find a significant difference in the degree of upper airway obstruction on DISE in children sedated with propofol versus dexmedetomidine. Prospective, randomized studies would be an important next step to confirm these findings. PMID: 32876805 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
ConclusionWe did not find a significant difference in the degree of upper airway obstruction on DISE in children sedated with propofol versus dexmedetomidine. Prospective, randomized studies would be an important next step to confirm these findings.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
Conditions:   Anesthesia;   Opioid Use;   Tonsillitis;   Sleep Disorder;   Surgery Interventions:   Drug: Ketorolac;   Drug: Dexmedetomidine;   Drug: Morphine;   Drug: Fentanyl Sponsors:   Children's Hospital of Philadelphia;   University of Pennsylvania Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSIONS: Overall, our study shows the factors that contribute to unexpected admissions postadenotonsillectomy. Identification of both modifiable and nonmodifiable factors associated with unexpected admissions after adenotonsillectomy will enable appropriate risk mitigation. PMID: 32833717 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Abstract Postoperative tonsillectomy pain is problematic with 75% of children reportingsevere pain on swallowing in the first 3 days of surgery.1 This pain decreases over time and while 86% of children 2-12 years might report noteworthy pain on day one at home, 67% of children were rated by parents as experiencing significant overall pain on day 3.2 However, 41% of those children were given only one or no analgesic on day 3.2 Although similar pain resolution profiles, with mirrored analgesic intake, have been reported during the first week after surgery, these patterns are not consistent.3 Some have reported incre...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
A mouth gag is usually used during tonsillectomy and adenotonsillectomy surgeries, cleft palate repair, obstructive sleep apnea surgery, and intraoral tumor excision. The placement of the gag causes hemodynami...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
This study aims to determine if there is an association between caregiver's pre-operative anxiety and children's post-operative pain in a lower-middle income country (LMIC) setting. METHODS: In this cross-sectional, descriptive study, we recruited 76 children aged 4 to 12 years, undergoing elective ambulatory tonsillectomy or adenotonsillectomy. Primary caregivers completed validated measures of anxiety (the Beck Anxiety Inventory [BAI] and the Kessler Psychological Distress Scale [K10]) prior to the children undergoing surgery. Post-operative pain was measured using the Wong Baker Faces Pain Rating Scale 4 hours afte...
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
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