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Paediatric day-case tonsillectomy: a three-year prospective audit spiral in a district hospital

Published online by Cambridge University Press:  18 October 2011

Y Bajaj ,
H Atkinson ,
R Sagoo ,
I Bhatti  and
C Newbegin
Y Bajaj*
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
H Atkinson
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
R Sagoo
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
I Bhatti
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
C Newbegin
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
*
Address for correspondence: Mr Y Bajaj, 2 Tall Trees, Leeds LS17 7WA, UK E-mail: ybajaj@hotmail.co.uk
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Abstract

Background:

Paediatric tonsillectomy is a common ENT operation. The use of day-case surgery is increasing, in order to improve efficiency in healthcare.

Methods:

A prospective audit spiral was carried out from January 2006 to December 2008 for all children undergoing day-case tonsillectomy at Huddersfield Royal Infirmary.

Results:

There was a haemorrhage rate of 2.6 per cent over three years. The most common complication was nausea and vomiting, seen in 5.3 per cent of patients.

Conclusions:

For a well selected group of children, day-case tonsillectomy in a district hospital setting is a safe and efficient alternative to an in-patient stay. A dedicated day-case team, good anaesthetic technique, adequate post-operative analgesia and on-site paediatric in-patient facilities are essential.

Keywords

Tonsillectomy, ChildDay CarePaediatrics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 159 - 162
Copyright
Copyright © JLO (1984) Limited 2011

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Footnotes

Presented at the European Society of Paediatric Otolaryngology meeting, 6 October 2010, Pamplona, Greece

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