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1 results

  • Post-operative nausea and vomiting following paediatric day-case tonsillectomy: audit of the Epsom protocol

  • P J Robb, B N Ewah
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 10 / October 2011
    Published online by Cambridge University Press:
    21 July 2011, pp. 1049-1052
    Print publication:
    October 2011
  • Objective:

    To audit a protocol for elective, day-case, paediatric ENT surgery, previously reported as enabling an overall post-operative nausea and vomiting rate of 2 per cent and a discharge rate of 100 per cent on the day of surgery.

    Method:

    The audit included 91 children (45 boys and 46 girls) aged three to 14 years. Forty-seven children underwent tonsillectomy, 36 adenotonsillectomy and eight tonsillectomy with postnasal space examination; indications included recurrent tonsillitis, tonsillitis and nasal block, upper airway obstruction, and a combination of upper airway obstruction and recurrent tonsillitis.

    Results:

    No post-operative nausea or vomiting was recorded in any of the children on the day of surgery, and no discharges were delayed. The reactionary haemorrhage rate was 1 per cent and the secondary haemorrhage rate 3.3 per cent.

    Conclusion:

    These findings have implications for the safe same-day discharge of children following tonsillectomy.