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
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]
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]
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.
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
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]
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...
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...
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...