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1 results

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

  • Y Bajaj, H Atkinson, R Sagoo, I Bhatti, C Newbegin
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 2 / February 2012
    Published online by Cambridge University Press:
    18 October 2011, pp. 159-162
    Print publication:
    February 2012
  • 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.