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Doctors Are Still Prescribing Codeine For Kids After Tonsillectomies, Despite FDA Warning
Despite a warning by the FDA regarding the significant safety risks of opioids, a new study published in Pediatrics finds that 1 in 20 children were still prescribed codeine after having a tonsillectomy and/or adenoidectomy, according to data through 2015. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - November 16, 2017 Category: Pharmaceuticals Authors: Robert Glatter, MD, Contributor Source Type: news

Kids Having Tonsillectomy, Adenoidectomy Still Get Codeine Despite Decreasing Prescriptions
Clinicians have eased off prescribing codeine to children undergoing tonsillectomy or adenoidectomy, but 1 in 20 patients still receives codeine, a Pediatrics study finds. In... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 16, 2017 Category: Primary Care Source Type: news

What are Indications for Continuous Positive Airway Pressure (CPAP)?
DiscussionObstructive sleep apnea syndrome (OSAS) is defined as a “disorder of breathing during sleep characterized by prolonged partial upper airway obstruction and/or intermittent complete obstruction (obstructive apnea) that disrupts normal ventilation during sleep and normal sleep patterns.” It is different than primary snoring which is snoring without apnea, sleep arousals, or problems with gas exchange. OSAS symptoms include snoring (often with snorts, gasps or pauses), disturbed sleep (often frequent arousals) and daytime neurobehavioral problems. Sleepiness during the day can occur but is less common in...
Source: PediatricEducation.org - June 12, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

FDA Drug Safety Communication: Safety review update of codeine use in children; new Boxed Warning and Contraindication on use after tonsillectomy and/or adenoidectomy
The U.S. Food and Drug Administration (FDA) is updating the public about new actions being taken to address a known safety concern with codeine use in certain children after tonsillectomy and/or adenoidectomy (surgery to remove the tonsils and/or adenoids). (Source: FDA Center for Drug Evaluation and Research - What's New)
Source: FDA Center for Drug Evaluation and Research - What's New - May 25, 2017 Category: Drugs & Pharmacology Source Type: news

FDA Drug Safety Communication: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
The U.S. Food and Drug Administration (FDA) is reviewing reports of children who developed serious adverse effects or died after taking codeine for pain relief after tonsillectomy and/or adenoidectomy for obstructive sleep apnea syndrome (Source: FDA Center for Drug Evaluation and Research - What's New)
Source: FDA Center for Drug Evaluation and Research - What's New - May 25, 2017 Category: Drugs & Pharmacology Source Type: news

One mom ’s insights: Navigating care for children with behavior differences
Diba Jalalzadeh, now 12, paces energetically around the waiting room. She has been coming to Boston Children’s Hospital since she was a baby. She sees plastic surgeon Dr. John Mulliken for her craniofacial condition, known as Crouzon syndrome. But he’s just one of her many doctors. Diba is followed by Dr. Linda Dagi (Ophthalmology), Dr. Bonnie Padwa (Oral and Maxillofacial Surgery), Dr. Mark Proctor (Neurosurgery), Dr. David Coulter (Neurology), Dr. Laurie Ohlms (Otolaryngology) Dr. John Emans (Orthopedic Surgery), Dr. Carolyn Bridgemohan (Developmental Medicine), Dr. Dascha Weir (Gastroenterology and Nutrition...
Source: Thrive, Children's Hospital Boston - August 17, 2016 Category: Pediatrics Authors: Nancy Fliesler Tags: Parenting autism Autism Spectrum Center child life Crouzon syndrome Dr. Bonnie Padwa Dr. Carolyn Bridgemohan Dr. Dascha Weir Dr. David Coulter Dr. John Emans Dr. Laurie Ohlms Dr. Linda Dagi Dr. Mark Proctor Dr. Roger Breitbart Source Type: news

Adenoidectomy
Title: AdenoidectomyCategory: Procedures and TestsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 8/16/2016 12:00:00 AM (Source: MedicineNet Kids Health General)
Source: MedicineNet Kids Health General - August 16, 2016 Category: Pediatrics Source Type: news

Some Kids Having Tonsil, Adenoid Surgery Should Be InpatientsSome Kids Having Tonsil, Adenoid Surgery Should Be Inpatients
A large proportion of pediatric patients undergo tonsillectomy and adenoidectomy in ambulatory settings, including some who should be treated in the hospital, according to researchers from Stanford University in California. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 1, 2016 Category: Consumer Health News Tags: Pediatrics News Source Type: news

Kaleb’s journey: Treating C-diff with fecal microbiota transplantation
Bath time and bubbles, snuggling with Mom and playing hockey with his big brother are just a few of Kaleb’s favorite things. But for the bright-eyed three-year-old from Massachusetts, things weren’t always so carefree. Kaleb’s health changes: Battling ear infections and diarrhea As an infant, Kaleb was a healthy baby boy. He was eating well and growing by leaps and bounds. At six months, his health began to change. Multiple ear infections followed by numerous antibiotic treatments became a painful part of Kaleb’s young life. As his first birthday approached, a second, unrelated condition emerged. Bo...
Source: Thrive, Children's Hospital Boston - October 27, 2015 Category: Pediatrics Authors: Maureen McCarthy Tags: All posts Diseases & conditions Center for Inflammatory Bowel Disease (IBD) fecal transplant gastroenterology George Russell Mark Volk Poop pill Source Type: news

What is a Tonsillolith?
Discussion Tonsillolith or tonsil stones are calcified structures that form in the palantine tonsillar crypts. The calculi are made up of calcium and other salts, along with microorganisms and other unidentified material (oral debris), that are likely caused by chronic irritation of the tonsil. Tonsilloliths often cause no problems and are an incidental finding on physical examination, but they can cause irritation, local pain, referred pain (to the ear), foreign body sensation, abscess and halitosis. Bacterial metabolism can cause volatile sulfur compounds and gases to be produced, thus causing oral halitosis. Tonsillolit...
Source: PediatricEducation.org - October 26, 2015 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Post-tonsillectomy complications more likely in children from lower-income families
Removing a child’s tonsils is one of the most common surgeries performed in the United States, with approximately 500,000 children undergoing the procedure each year. New research by doctors at UCLA finds that children from lower-income families are more likely to have complications following the surgery. In the first study of its kind to analyze post-operative complications requiring a doctor’s visit within the first 14 days after tonsillectomy, researchers saw a significant disparity based on income status, race and ethnicity. “Surprisingly, despite all children having a relatively uniform health s...
Source: UCLA Newsroom: Health Sciences - October 15, 2014 Category: Universities & Medical Training Source Type: news

Summer's a Great Time for Tonsil Removal
Surgery won't disrupt school schedule, kids can relax during recovery, doctor says Source: HealthDay Related MedlinePlus Page: Tonsils and Adenoids (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - June 27, 2014 Category: Consumer Health News Source Type: news

Adenoidectomy
Title: AdenoidectomyCategory: Procedures and TestsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 1/28/2014 12:00:00 AM (Source: MedicineNet Kids Health General)
Source: MedicineNet Kids Health General - January 28, 2014 Category: Pediatrics Source Type: news

More Extensive Sleep Apnea Surgery Revealed in Girl with Brain Death
In a court hearing Friday, further details were revealed in the case of 13-year-old Jahi McMath, the teenager who suffered complications leading to brain death after surgery to treat sleep apnea. While awaiting the opinion of an independent neurologist as ordered by the court, additional information about the procedures preceding the tragic turn of events has been disclosed. She did not have a routine tonsillectomy. Rather, she had three procedures to treat her condition: adenotonsillectomy, uvulopalatopharyngoplasty (UPPP), and turbinate reduction. Tonsillectomy with or without removal of the adenoids is commonly perfor...
Source: About Sleep Disorders - December 21, 2013 Category: Sleep Medicine Source Type: news

Teenage Girl Suffers Brain Death After Tonsillectomy
By now you may have heard about the unfortunate story involving a teenage girl in Oakland, Calif. who suffered brain death after a routine tonsillectomy to treat her sleep apnea. This tragic story tugs at heartstrings and may raise concerns among parents seeking treatments for their own children. First, tonsillectomy is routinely indicated for the treatment of sleep apnea in children and adolescents. When tonsils or adenoids are enlarged, these tissues can obstruct the airway. During sleep, this may lead to interruption of breathing and pauses that characterize sleep apnea. This can have serious consequences, including im...
Source: About Sleep Disorders - December 17, 2013 Category: Sleep Medicine Source Type: news

Why Standard Codeine Doses Can Be ToxicWhy Standard Codeine Doses Can Be Toxic
Three children died in August 2012 after receiving usual doses of codeine for postoperative pain following a tonsillectomy and/or adenoidectomy. Find out why. Oncology Nursing Forum (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 27, 2013 Category: Consumer Health News Tags: Nursing Journal Article Source Type: news

Tonsil/Adenoid Removal to Prevent PANDAS?Tonsil/Adenoid Removal to Prevent PANDAS?
This study examines the speculation of whether tonsillectomy/adenoidectomy might improve the severity of pediatric autoimmune neuropsychiatric disorder associated with group A streptococcus. The Pediatric Infectious Disease Journal (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 2, 2013 Category: Consumer Health News Tags: Pediatrics Journal Article Source Type: news

Whole Exome Sequencing Seeks Out Adenoid Cystic Carcinoma
Adenoid cystic carcinoma (ACC) is a slow-growing and often fatal malignancy that can occur at multiple organ sites, but is most frequently found in the salivary glands. The primary treatment is surgical removal; however, the majority of patients develop metastatic disease. In this issue of the Journal of Clinical Investigation, researchers led by Andrew Futreal at the Wellcome Trust Sanger Institute in Cambridge, MA, performed a type of genetic sequencing known as whole exome sequencing of 24 ACC cases... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - June 19, 2013 Category: Consumer Health News Tags: Cancer / Oncology Source Type: news

Sleep Apnea Symptoms In Childhood Treated By Early Removal Of Adenoids And Tonsils
Adenotonsillectomy, or the removal of the adenoids and tonsils, is performed 500,000 times a year in the United States, often as a treatment for children with obstructive sleep apnea. However, the procedure's ability to improve a child's attention and executive functioning, behavior, sleep apnea symptoms, and quality of life has not been rigorously evaluated until now... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 23, 2013 Category: Consumer Health News Tags: Ear, Nose and Throat Source Type: news

Early removal of adenoids and tonsils can help pediatric sleep apnea symptoms
(Brigham and Women's Hospital) A study led by Brigham and Women's Hospital finds early removal of adenoids and tonsils can improve behavior, sleep apnea symptoms and quality of life in children with sleep apnea. However, early removal fails to improve short term cognitive functioning. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - May 21, 2013 Category: Global & Universal Source Type: news

Codeine Risky for Kids After Certain Surgeries, FDA Says
10 deaths, 3 overdoses reported following removal of tonsils or adenoids Source: HealthDay Related MedlinePlus Pages: Medicines and Children, Pain Relievers (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - February 21, 2013 Category: Consumer Health News Source Type: news

Codeine After Tonsillectomy Dangerous, FDA Warns
Medicines that contain codeine should not be used for pain relief in kids after a tonsillectomy or adenoidectomy (surgery removing the tonsils or adenoids), because there is a chance of serious side effects or possible death, according to the U.S. Food and Drug Administration (FDA). A new boxed warning addressing the risk of codeine for post-surgery pain management in children will be added to medicines that contain codeine. A boxed warning is the FDA's highest warning level... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - February 21, 2013 Category: Consumer Health News Tags: Pediatrics / Children's Health Source Type: news

FDA Warns About Using Codeine After Tonsillectomy
Medicines that contain codeine should not be used for pain relief in kids after a tonsillectomy or adenoidectomy (surgery removing the tonsils or adenoids), because there is a chance of serious side effects or possible death, according to the U.S. Food and Drug Administration (FDA). A new boxed warning addressing the risk of codeine for post-surgery pain management in children will be added to medicines that contain codeine. A boxed warning is the FDA's highest warning level... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - February 21, 2013 Category: Consumer Health News Tags: Pediatrics / Children's Health Source Type: news

FDA drug safety communication: Update of codeine use in children- new Boxed Warning and Contraindication on use after tonsillectomy and/or adenoidectomy
Source: FDA Area: News The FDA has notified the public about new actions being taken to address a known safety concern with codeine use in certain children after tonsillectomy and/or adenoidectomy   In August, it had issued an alert, following reports of children who developed serious adverse effects or died after taking codeine for pain relief after these procedures for obstructive sleep apnoea syndrome. These children (aged two to five) had evidence of an inherited ability to convert codeine into life-threatening or fatal amounts of morphine in the body. All children had received doses of codeine that were with...
Source: NeLM - News - February 21, 2013 Category: Drugs & Pharmacology Source Type: news

FDA Warns About Codeine Following Tonsillectomy
(MedPage Today) -- Products that contain codeine should not be used for pain relief in children following tonsillectomy or adenoidectomy because of a possible risk of serious adverse events or death, the FDA said Wednesday. (Source: MedPage Today Pain Management)
Source: MedPage Today Pain Management - February 20, 2013 Category: Anesthesiology Source Type: news

Codeine Use in Certain Children After Tonsillectomy and/or Adenoidectomy: Drug Safety Communication - Risk of Rare, But Life-Threatening Adverse Events or Death
Audience: Pediatricians, Surgery, Consumer [UPDATED 02/20/2013] FDA notified the public about new actions being taken to address a known safety concern with codeine use in certain children after tonsillectomy and/or adenoidectomy (surgery to... (Source: Drugs.com - FDA MedWatch Alerts)
Source: Drugs.com - FDA MedWatch Alerts - February 20, 2013 Category: Drugs & Pharmacology Source Type: news

CADTH Rapid Response Report: Optimal pain management following tonsillectomy or adenoidectomy for paediatric patients
Source: Canadian Agency for Drugs and Technologies in Health (CADTH) Area: News This Rapid Response Report by the Canadian Agency for Drugs and Technologies in Health (CADTH) reviews the available clinical evidence and evidence-based guidelines regarding optimal pharmaceutical pain management options for paediatric patients following tonsillectomy and/or adenoidectomy.   A limited literature search of key resources identified two systematic reviews and five randomised controlled trials. Although a variety of pharmaceutical pain management options were examined, none of the studies identified an optimal pain manag...
Source: NeLM - News - January 14, 2013 Category: Drugs & Pharmacology Source Type: news