Postoperative acute respiratory insufficiency following adenotonsillectomy in children with neuropathy

Manrique, Dayse; Sato, Juliana; Anastacio, Erika M.

doi:10.1016/j.ijporl.2008.01.005

Cited by 8 publications

(5 citation statements)

References 22 publications

(16 reference statements)

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“…Patients with neurologic impairment are at risk for hypoxemia and respiratory insufficiency. 44 The same can be expected for patients with impaired cardiopulmonary function. Obesity was noted as a risk factor in some patients.…”

Section: Discussionmentioning

confidence: 80%

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Mortality and major morbidity after tonsillectomy

et al. 2013

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Section: Discussionmentioning

confidence: 80%

“…Neurological or cardiopulmonary impairments were relatively common in this cohort, with a less clear role for obesity. Patients with neurologic impairment are at risk for hypoxemia and respiratory insufficiency . The same can be expected for patients with impaired cardiopulmonary function.…”

Section: Discussionmentioning

confidence: 92%

Mortality and major morbidity after tonsillectomy

et al. 2013

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“…The purpose of this statement is to improve the quality of care and assist with clinical treatment plans in children with oSDB who are at increased risk for surgical or anesthetic complications because of comorbid conditions that include obesity, neuromuscular or craniofacial disorders, Down syndrome, mucopolysaccharidoses, and sickle cell disease. 43,[117][118][119] Obtaining PSG prior to tonsillectomy in young children or those with any of the conditions mentioned will benefit clinicians and patients by improving diagnostic accuracy in high-risk populations and defining the severity of OSA to optimize perioperative planning ( Table 6).…”

Section: Supporting Textmentioning

confidence: 99%

Clinical Practice Guideline: Tonsillectomy in Children (Update)

Mitchell

Archer

Ishman

et al. 2019

Otolaryngol.--head neck surg.

390

470

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Objective. This update of a 2011 guideline developed by the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Tonsillectomy is one of the most common surgical procedures in the United States, with 289,000 ambulatory procedures performed annually in children \15 years of age based on the most recent published data. This guideline is intended for all clinicians in any setting who interact with children who may be candidates for tonsillectomy. KAS 14 (Postoperative codeine), and KAS 15a (Outcome assessment for bleeding). (6) Addition of an algorithm outlining KASs. (7) Enhanced emphasis on patient and/or caregiver education and shared decision making.

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“…1 Polysomnography is usually reserved for specific cases, such as very young children, uncertain diagnosis, or related comorbidities, including obesity, Down syndrome, craniofacial abnormalities, or neuromuscular disorders. 1,[18][19][20][21] In our cohort, none of the children were clearly indicated for polysomnography, although it would have been beneficial and should be considered in subsequent studies.…”

Section: Limitationsmentioning

confidence: 90%

Impact of Tonsillectomy on the Life Quality of Parents to Children With Obstructive Sleep‐Disordered Breathing

Shteinberg

Eisenbach²,

Gruber

et al. 2021

Otolaryngol.--head neck surg.

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Objective Parents of children with any chronic illness may experience increased anxiety and reduced health-related quality of life (QoL). Our objective was to evaluate the change in parental QoL before vs after tonsillectomy. Our hypothesis was that pediatric tonsil surgery with or without adenoidectomy would improve parental QoL. Study Design A prospective cohort study. Setting An otolaryngology department in a tertiary academic center. Methods We enrolled parents of 79 children <5 years old. Adenotonsillectomy due to an obstructive airway indication was performed in 45 children. A group of 34 parents to healthy children served as a control group. Initially, we validated a modified version of the PAR-ENT-QoL questionnaire; then, we analyzed QoL parameters among parents of children with obstructive sleep-disordered breathing before and after surgical treatment. Results We found significant differences between the QoL score before and after surgery ( P = .003). The QoL score after surgery significantly improved and was even lower than that of the control group ( P < .001). Conclusions These results highlight the importance of timely diagnosis and treatment of children with obstructive sleep-disordered breathing, as this condition may affect not only the children themselves but also their caregivers.

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Postoperative acute respiratory insufficiency following adenotonsillectomy in children with neuropathy

Cited by 8 publications

References 22 publications

Mortality and major morbidity after tonsillectomy

Mortality and major morbidity after tonsillectomy

Clinical Practice Guideline: Tonsillectomy in Children (Update)

Impact of Tonsillectomy on the Life Quality of Parents to Children With Obstructive Sleep‐Disordered Breathing

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