Day-case adenoidectomy?is it safe?

Ahmed, Kamran A.; McCormick, M; Baruah, Anushka

doi:10.1111/j.1365-2273.1993.tb00602.x

Cited by 11 publications

(6 citation statements)

References 9 publications

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“…Propofol infusion, Ondansetron). A locally published audit report (Oxford Regional Audit Office, April 1993) of day surgery throughout the Oxford Region in 1993 by one of the authors (PMB) found only a few sporadic adenoidectomies being performed, but in the last few years several papers have appeared suggesting the procedure is safe (Yardley, 1962;Ahmed et al, 1993;Leighton et al, 1993;Tewary, 1993). The operation has gained quite wide acceptance amongst otolaryngologists, particularly as a protocol-led procedure, and 243 were recorded here with an admission rate that almost meets the College guidelines.…”

Section: Outcomementioning

confidence: 99%

ENT day surgery in England and Wales – an audit by the Royal College of Surgeons (Eng.) Comparative Audit Service

et al. 1998

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An audit of day surgery was carried out by the Royal College of Surgeons (Eng.) Comparative Audit service. Data from 121 respondents on over 3 962 day cases were analysed from both retrospective information and from prospective individual patient proformas. The day surgery rate is 31 per cent. The variability of facilities for day-surgery, the timing of lists, type of anaesthetic used and case-mix are discussed. Outcome and the reasons for admission to an overnight bed are analysed. The overall admission rate was found to be 2.8 per cent (range 0.6–19.5 per cent between consultants). Seventy per cent of ENT day-surgery was performed on morning lists which have a lower admission rate than afternoon lists. The main reasons for admission are vomiting 30 per cent, haemorrhage 20 per cent and inadequate recovery from anaesthetic 22 per cent. A more detailed analysis of reasons for admission were given for tonsillectomy, adenoidectomy, FESS, and grommets. Recommendations are given which might increase the scope of safe day-surgery and reduce admission rate.

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Section: Outcomementioning

confidence: 99%

ENT day surgery in England and Wales – an audit by the Royal College of Surgeons (Eng.) Comparative Audit Service

et al. 1998

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“…Adenoidal haemorrhage is the most common complication of adenoidectomy, occurring in ≈0.006–1.5% 1–7 of patients following curettage. Traditionally, haemostasis is achieved by diathermy using a mirror, packing with an adrenaline soaked gauze, or tamponade with a post‐nasal pack.…”

mentioning

confidence: 99%

Avoiding a post‐nasal pack in adenoidal haemorrhage

Dowley¹,

Jones²

2008

Clinical Otolaryngology

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“…In the UK in 1990, less than 1.5% of adenoidectomies alone were carried out as day-case procedures [5]. However, published data has confirmed that daycase adenoidectomy is not only a safe procedure, but has a high level of parental acceptability and low degree of parental anxiety and concern [6,7,12,13]. The current constraints to day-case adenoidectomy are limited to patient fitness or unfavourable social circumstances and rural geographical limitations.…”

Section: Discussionmentioning

confidence: 94%

“…In 1993, the Chief Medical Officer of England and Wales set a target aiming for 50% of all surgery to be daycases by 2000 [3]. Several studies support day-case adenoidectomy as a safe and cost-effective procedure [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%