The Median Effective Dose of Dexmedetomidine for the Inhibition of Emergence Delirium in Preschool Children Undergoing Tonsillectomy and/or Adenoidectomy: A Retrospective Dose-response Trial
Dose Response. 2024 Apr 19;22(2):15593258241248919. doi: 10.1177/15593258241248919. eCollection 2024 Apr-Jun.ABSTRACTThe incidence of emergence delirium (ED) is higher in preschool children undergoing tonsillectomy and/or adenoidectomy. The purpose of this study was to determine the median effective dose (ED50) of dexmedetomidine (DEX) for the inhibition of ED in preschool children by using probit regression analysis. A total of 140 anesthesia records were retrieved and divided into seven groups based on the infusion rate of DEX: .2, .25, .3, .35, .4, .45, and .5 μg·kg-1·h-1. The Pediatric Anesthesia Emergence Delirium ...
Source: Dose Response - April 22, 2024 Category: Drugs & Pharmacology Authors: BaiYun Wei CuiYu Yu JinBo Xiao Huang Xu Ping Zheng WeiBing Wang Source Type: research
The Median Effective Dose of Dexmedetomidine for the Inhibition of Emergence Delirium in Preschool Children Undergoing Tonsillectomy and/or Adenoidectomy: A Retrospective Dose-response Trial
Dose Response. 2024 Apr 19;22(2):15593258241248919. doi: 10.1177/15593258241248919. eCollection 2024 Apr-Jun.ABSTRACTThe incidence of emergence delirium (ED) is higher in preschool children undergoing tonsillectomy and/or adenoidectomy. The purpose of this study was to determine the median effective dose (ED50) of dexmedetomidine (DEX) for the inhibition of ED in preschool children by using probit regression analysis. A total of 140 anesthesia records were retrieved and divided into seven groups based on the infusion rate of DEX: .2, .25, .3, .35, .4, .45, and .5 μg·kg-1·h-1. The Pediatric Anesthesia Emergence Delirium ...
Source: Dose Response - April 22, 2024 Category: Drugs & Pharmacology Authors: BaiYun Wei CuiYu Yu JinBo Xiao Huang Xu Ping Zheng WeiBing Wang Source Type: research
Tympanoplasty can be Concurrent with Adenoidectomy. Tube Factor Assessment
AbstractTo assess changes in middle ear pressures following adenotonsillectomies in children, and to evaluate the possibility of performing tympanoplasty at the same surgical time. Prospective study in which tube function was assessed using tympanometry on the first postoperative day and on the seventh postoperative day after adenotonsillectomies. A total of 39 children aged 6.8 ± 2.6 years were evaluated. On the first postoperative day, 79.5% presented with changes in middle ear pressure. On the seventh postoperative day, only 12.8% maintained this change. Tube dysfunction following adenotonsillectomy is transient a...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 22, 2024 Category: ENT & OMF Source Type: research
Endotracheal enucleation and para ‐toluenesulfonamide injection for adenoid cystic carcinoma in the upper trachea: A novel therapeutic approach
We present a case of tracheal adenoid cystic carcinoma (ACC) treated with endotracheal enucleation followed by three doses of para-toluenesulfonamide (PTS)-lipiodol mixture injection. The treatment resulted in tumor eradication, improved airway patency, and absence of recurrence in 1 year, suggesting PTS as a promising alternative for inoperable ACC. AbstractWe present a case of an adenoid cystic carcinoma (ACC) located in the upper trachea, which resulted in significant airway blockage, that was unsuitable for surgical removal due to concerns about functional impairment. Instead, endotracheal enucleation via rigid bron...
Source: Thoracic Cancer - April 19, 2024 Category: Cancer & Oncology Authors: Hsiao ‐Hung Lu,
Shuenn‐Wen Kuo Tags: CASE REPORT Source Type: research
Comparison of classical, coblation, and combined adenoidectomy techniques in paediatric patients: a single-blind, prospective study
ConclusionsThe combined approach, which was one of the techniques studied, demonstrated an intermediate profile in terms of operative time and intra-operative bleeding compared to the classical and coblation techniques. These findings suggest that this combined approach may be a feasible option for adenoidectomy in pediatric patients, considering its similar low incidence of postoperative complications. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 6, 2024 Category: ENT & OMF Source Type: research
Association of preoperative neutrophil –lymphocyte ratios with the emergence delirium in pediatric patients after tonsillectomy and adenoidectomy: an observational prospective study
ConclusionsPreoperative NLR level and postoperative pain were independent risk factors for ED in pediatric patients undergoing T&A. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research
Economic Impact of COVID-19 on a Free-Standing Pediatric Ambulatory Center
CONCLUSION: Our study identified specific economic impacts of COVID-19 on free-standing pediatric ambulatory centers, thereby highlighting the need for innovative practices with cost containment for sustainability of such specialized centers when dealing with future pandemics related to COVID-19 or other viral pathogens.PMID:38550553 | PMC:PMC10970035 | DOI:10.14740/jocmr5083 (Source: Clin Med Res)
Source: Clin Med Res - March 29, 2024 Category: Research Authors: Connor Randall Christian Mpody Vidya T Raman Olubukola O Nafiu Joseph D Tobias Source Type: research
Economic Impact of COVID-19 on a Free-Standing Pediatric Ambulatory Center
CONCLUSION: Our study identified specific economic impacts of COVID-19 on free-standing pediatric ambulatory centers, thereby highlighting the need for innovative practices with cost containment for sustainability of such specialized centers when dealing with future pandemics related to COVID-19 or other viral pathogens.PMID:38550553 | PMC:PMC10970035 | DOI:10.14740/jocmr5083 (Source: Clin Med Res)
Source: Clin Med Res - March 29, 2024 Category: Research Authors: Connor Randall Christian Mpody Vidya T Raman Olubukola O Nafiu Joseph D Tobias Source Type: research
Economic Impact of COVID-19 on a Free-Standing Pediatric Ambulatory Center
CONCLUSION: Our study identified specific economic impacts of COVID-19 on free-standing pediatric ambulatory centers, thereby highlighting the need for innovative practices with cost containment for sustainability of such specialized centers when dealing with future pandemics related to COVID-19 or other viral pathogens.PMID:38550553 | PMC:PMC10970035 | DOI:10.14740/jocmr5083 (Source: Clin Med Res)
Source: Clin Med Res - March 29, 2024 Category: Research Authors: Connor Randall Christian Mpody Vidya T Raman Olubukola O Nafiu Joseph D Tobias Source Type: research
Economic Impact of COVID-19 on a Free-Standing Pediatric Ambulatory Center
CONCLUSION: Our study identified specific economic impacts of COVID-19 on free-standing pediatric ambulatory centers, thereby highlighting the need for innovative practices with cost containment for sustainability of such specialized centers when dealing with future pandemics related to COVID-19 or other viral pathogens.PMID:38550553 | PMC:PMC10970035 | DOI:10.14740/jocmr5083 (Source: Clin Med Res)
Source: Clin Med Res - March 29, 2024 Category: Research Authors: Connor Randall Christian Mpody Vidya T Raman Olubukola O Nafiu Joseph D Tobias Source Type: research
Surgical Management of Pediatric Obstructive Sleep Apnea Beyond Tonsillectomy & Adenoidectomy
Pediatric patients with persistent obstructive sleep apnea (OSA) after adenotonsillectomy often have additional sites of upper airway obstruction such as the tongue base or larynx. Sleep endoscopy and cross-sectional, dynamic imaging can be used to direct surgical management of persistent OSA. The tongue base is one of the most common sites of obstruction in children with persistent OSA, especially for patients with Trisomy 21. Lingual tonsillectomy, tongue suspension, and/or posterior midline glossectomy may be used to address lingual tonsil hypertrophy and tongue base obstruction. Epiglottopexy and/or supraglottoplasty m...
Source: Otolaryngologic clinics of North America - March 23, 2024 Category: ENT & OMF Authors: Matthew Maksimoski, Carol Li Source Type: research
Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
