Paediatric ENT day surgeryIs it safe practice?

Asiri, Saad; Abu-Bakr, Yasser A.; Al-Enazi, Fatmia

doi:10.1016/j.ambsur.2005.06.001

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…Nevertheless, general surgery still account for a large proportion of caseloads for paediatric ambulatory service in the advanced centres. 14,15 Recently, Asiri et al 16 demonstrated that paediatric ENT procedures could be done safely as day case procedures. Thus, our paediatric ambulatory service can be expanded in the future to accommodate more procedures beyond general surgery.…”

Section: Discussionmentioning

confidence: 99%

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Imarengiaye

Osifo²,

Tudjegbe³

et al. 2010

West African Journal of Medicine

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BACKGROUND: Ambulatory surgical care accounts for over 70% of elective procedures in Northern America. Ambulatory paediatric surgical practice is not widespread in Nigeria. This report examined clinical indicators for quality care in paediatric ambulatory surgery using common outcomes after day case procedures as benchmark. METHODS: This was a cross-sectional study of children who were presented for ambulatory surgical care in the University of Benin Teaching Hospital. A standardized questionnaire was employed to record the age, gender, indication for surgery, type of anaesthesia, timelines for the surgery and associated complications. RESULTS: A total of 93 patients had surgical procedures on ambulatory basis. The mean age of the patients was 4.1 ? 4.0yr and duration of surgical procedure 31.3 ± 12.1 min. The male/ female ratio was 3:1, and herniotomy was the most frequent procedure on ambulatory paediatric surgical care 60 (64.5%). The common anaesthetic techniques employed in the paediatric ambulatory setting were spontaneous respiration with face mask 40 (43%), Inhalation technique with tracheal intubations 31 (33.3%), general anaesthesia with relaxant technique five (5.4%), local infiltration with or without sedation eight (8.6%), GA plus caudal block eight(8.6%), and subarachnoid block one(1.1%). The indicators of quality care were unanticipated admission (5.4%), repeat hospital visit (4.3%), readmission (2.2%) and delayed discharge (21.5%). CONCLUSION: The practices of paediatric surgery on ambulatory services are feasible in our setting. The observable complications are within acceptable limits. The timelines in the scheduling and discharge appear not to be optimal for an effective ambulatory service. WAJM 2009; 28(5): 304-307.

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Section: Discussionmentioning

confidence: 99%

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Imarengiaye

Osifo²,

Tudjegbe³

et al. 2010

West African Journal of Medicine

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Surgical Procedures on Children

Shields

Tanner

2009

Perioperative Care of the Child

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Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy

Rızalar

Özbaş

2018

Gastroenterology Nursing

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The aim of this study was to determine the effect of early postoperative feeding on recovery after appendectomy in children. It was undertaken as a multicenter study. Patients were randomly assigned to 2 groups, each containing 46 children. Postoperatively, liquid and solid food intake and evacuation of first flatus and stool were recorded for the intervention and routine care groups. Postoperative thirst, hunger, nausea, and pain levels were evaluated at regular intervals using the Visual Analogue Scale. Data were obtained as number, mean, and percentage, and statistically analyzed using the chi-square test and the 2-sample t test. A statistically significant difference was found for both the first evacuation of flatus and stool and the length of hospital stay. Patients in the intervention group had evacuated flatus and stool earlier and had a shorter hospital stay than the control group. In addition, a significant difference was found in hunger (48th hour), thirst (36th and 48th hours), and pain (48th hour) levels between the intervention and control groups. Early postoperative feeding in children who have had an appendectomy affects the occurrence of the first evacuation of flatus and stool, the length of hospital stay, and the level of hunger, thirst, and pain.

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Paediatric ENT day surgeryIs it safe practice?

Cited by 4 publications

References 27 publications

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Surgical Procedures on Children

Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy

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