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Chapter 31 - Adenotonsillectomy

Published online by Cambridge University Press:  30 November 2019

By
Rebecca Evans
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter presents one of the most common pediatric surgeries, adenotonsillectomy. The author reviews in the indications for adenotonsillectomy in the setting of a child with obstructive sleep apnea (OSA). The perioperative considerations for this extremely high risk population of children with OSA is considered with respect to the anesthetic considerations.

Keywords

Tonsillectomyadenoidectomypost tonsillar bleedpolysomnographyobstructive apneasleep disordered breathingupper respiratory infectioncase cancellationapnea hypopnea index
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 137 - 140
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Cohen, MM, Cameron, CB. Should you cancel the operation when a child has an upper respiratory tract infection? Anesth Analg. 1991;72(3):282–8. PMID: 1994755.CrossRefGoogle ScholarPubMed
Cote, CJ. The upper respiratory tract infection (URI) dilemma: fear of a complication or litigation? Anesthesiology. 2001;95:283–5. PMID: 11506096.CrossRefGoogle ScholarPubMed
Marcus, CL, Brooks, LJ, Draper, KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130(3):576–84. PMID: 22926173.CrossRefGoogle ScholarPubMed
Patino, M, Sadhasivam, S, Mahmoud, M. Obstructive sleep apnoea in children: perioperative considerations. Br J Anaesth. 2013;111 Suppl 1:i83–95. PMID: 24335402.CrossRefGoogle ScholarPubMed
Raghavendran, S, Bagry, H, Detheux, G, et al. An anesthetic management protocol to decrease respiratory complications after adenotonsillectomy in children with severe sleep apnea. Anesth Analg. 2010;110(4):1093–101. PMID: 20142343.CrossRefGoogle ScholarPubMed
Tait, AR, Malviya, S, Voepel-Lewis, T, et al. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology. 2001;95:299–306. PMID: 11506098.CrossRefGoogle ScholarPubMed
Thongyam, A, Marcus, CL, Lockman, JL, et al. Predictors of perioperative complications in higher risk children after adenotonsillectomy for obstructive sleep apnea: a prospective study. Otolaryngol Head Neck Surg. 2014;151(6):1046–54. PMID: 25301788.CrossRefGoogle ScholarPubMed
Uliel, S, Tauman, R, Greenfeld, M, et al. Normal polysomnographic respiratory values in children and adolescents. Chest. 2004;125(3):872–8. PMID: 15006944.CrossRefGoogle ScholarPubMed

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