Related Experiment Video

Updated: May 26, 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

Utility of preoperative cardiac evaluation in pediatric patients undergoing surgery for obstructive sleep apnea

Peter C Revenaugh1, Lauren J Chmielewski, Thomas Edwards

  • 1Head and Neck Institute, Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Archives of Otolaryngology--Head & Neck Surgery
|December 21, 2011
PubMed

Insights

Preoperative cardiac evaluations rarely reveal significant findings in pediatric obstructive sleep apnea (OSA) patients. However, a higher apnea-hypopnea index (AHI) predicts postoperative respiratory complications after adenotonsillectomy (TA).

Area of Science:

  • Pediatric Cardiology
  • Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive sleep apnea (OSA) is common in children undergoing adenotonsillectomy (TA).
  • Cardiac evaluations are often performed preoperatively, but their utility in pediatric OSA is debated.
  • Postoperative respiratory complications following TA are a significant concern.

Purpose of the Study:

  • To determine the prevalence of clinically relevant cardiac findings in pediatric OSA patients before TA.
  • To assess the association between cardiac findings and postoperative respiratory complications.
  • To evaluate the correlation between OSA severity (AHI) and cardiac parameters.

Main Methods:

  • Retrospective chart review of pediatric patients (10 months–15 years) who underwent echocardiography and polysomnography (PSG) prior to TA for OSA.
  • Independent review of echocardiograms by two pediatric cardiologists.
  • Stratification of patients by apnea-hypopnea index (AHI) severity.

Main Results:

  • No clinically relevant cardiac abnormalities were found in the 57 reviewed patients.
  • Increased AHI was significantly associated with postoperative respiratory complications (P < .05).
  • Left ventricular mass index was not significantly related to AHI, contrary to prior studies.

Conclusions:

  • Routine preoperative cardiac workup for pediatric OSA patients may not be necessary unless comorbidities exist.
  • Preoperative AHI is a valuable tool for identifying patients at risk of respiratory complications post-TA.
  • Cardiac evaluations and OSA severity (AHI) did not predict postoperative respiratory complications in this cohort.
Abstract

More Related Videos

Image Acquisition using Portable Sonography for Emergency Airway Management07:31

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
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...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...