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To proceed or not to proceed: ENT surgery in paediatric patients with acute upper respiratory tract infection

Published online by Cambridge University Press:  25 July 2016

S Shemesh ,
S Tamir ,
A Goldfarb ,
T Ezri  and
Y Roth
S Shemesh*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
S Tamir
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
A Goldfarb
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
T Ezri
Affiliation:
Department of Anaesthesiology, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel Outcomes Research Consortium, Cleveland, Ohio, USA
Y Roth
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
*
Address for correspondence: Dr Shay Shemesh, Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, PO Box 5, 58100 Holon, Israel Fax: +972 3 5028199 E-mail: shaymess@hotmail.com
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Abstract

Background:

Upper respiratory tract infection is the most common non-preventable cause of surgery cancellation. Consequently, surgeons and anaesthesiologists involved in elective ENT surgical procedures frequently face a dilemma of whether to proceed or to postpone surgery in affected children.

Methods:

A literature review was conducted and a practical assessment algorithm proposed.

Conclusion:

The risk–benefit assessment should take into consideration the impact of postponing the surgery intended to bring relief to the child and the risks of proceeding with general anaesthesia in an inflamed airway. The suggested algorithm for assessment may be a useful tool to support the decision of whether to proceed or to postpone surgery.

Keywords

AnesthesiaSurgeryOtorhinolaryngologyUpper Respiratory Tract Infections
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 9 , September 2016 , pp. 800 - 804
Copyright
Copyright © JLO (1984) Limited 2016 

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