Related Experiment Video

Updated: Jun 22, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Complications in children who electively remain intubated after adenotonsillectomy for severe obstructive sleep apnea

James W Schroeder1, Amy S Anstead, Hausin Wong

  • 1Children's Memorial Hospital, Chicago, Pediatric Otolaryngology, Chicago, IL 60614, USA. jschroeder@childrensmemorial.org

International Journal of Pediatric Otorhinolaryngology
|May 27, 2009
PubMed

Insights

Electively intubating children after urgent adenotonsillectomy for severe obstructive sleep apnea (OSA) leads to higher complication rates and longer hospital stays. A trial of extubation is recommended for these pediatric patients.

Area of Science:

  • Pediatric surgery
  • Sleep medicine
  • Anesthesiology

Background:

  • Severe obstructive sleep apnea (OSA) in children often necessitates urgent adenotonsillectomy (T&A).
  • Postoperative management decisions, including elective intubation, can impact patient outcomes.

Purpose of the Study:

  • To compare the outcomes of children electively left intubated versus those extubated after urgent T&A for severe OSA.
  • To identify factors influencing the postoperative course in this patient population.

Main Methods:

  • Retrospective study of 70 children with severe OSA undergoing urgent T&A.
  • Comparison of children electively intubated postoperatively versus those extubated.
  • Analysis of complication rates, Pediatric Intensive Care Unit (PICU) and hospital stay.

Main Results:

  • Children remaining intubated (n=17) had significantly higher complication rates (47%) compared to extubated children (n=53, 2%).
  • Intubated children were younger, had higher ASA classifications, and experienced longer PICU and hospital stays.
  • No extubated children under three required reintubation.

Conclusions:

  • Elective intubation after urgent T&A for severe OSA is associated with increased complications and prolonged hospitalization.
  • A trial of extubation is a safe and recommended approach for pediatric patients undergoing T&A for severe OSA.
Abstract

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Related Concept Videos

Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...