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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Paediatric adenotonsillectomy as a daycase for obstructive sleep apnoea: how we do it in a tertiary unit

Lilli Cooper1, Kathryn Ford, Yogesh Bajaj

  • 1CT1 Surgery, Bart's Children's and the Royal London Hospital, United Kingdom.

International Journal of Pediatric Otorhinolaryngology
|October 1, 2013
PubMed

Insights

Paediatric adenotonsillectomy for obstructive sleep apnoea (OSA) can be safely performed as a daycase procedure. This approach improves healthcare efficiency without increasing complication risks for carefully selected children.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Sleep Medicine

Background:

  • Pediatric adenotonsillectomy is a frequent Ear, Nose, and Throat (ENT) surgical procedure.
  • Daycase surgery is promoted for uncomplicated elective procedures to enhance healthcare efficiency.
  • Overnight hospital stays are typically recommended for pediatric adenotonsillectomy in obstructive sleep apnoea (OSA) cases, despite its daycase nature in other contexts.

Purpose of the Study:

  • To evaluate the safety and feasibility of daycase adenotonsillectomy for pediatric obstructive sleep apnoea (OSA).
  • To assess the rate of unplanned admissions and readmissions following daycase adenotonsillectomy for OSA in children.

Main Methods:

  • A retrospective casenote review was conducted.
  • The study period spanned from December 1, 2011, to December 1, 2012.
  • Included were all children undergoing daycase adenotonsillectomy for OSA treatment at Bart's Children's and the Royal London Hospital.

Main Results:

  • A total of 250 children underwent daycase adenotonsillectomies for OSA over twelve months.
  • 6% of patients experienced immediate, unplanned overnight admissions.
  • 3% of patients were readmitted within 30 days, with no instances requiring surgical intervention.

Conclusions:

  • Adenotonsillectomy can be safely performed as a daycase procedure in a tertiary care setting for appropriately selected pediatric patients with OSA.
  • Daycase surgery for pediatric OSA adenotonsillectomy demonstrates a low rate of complications requiring further intervention.
Abstract

Keywords:
AdenotonsillectomyChildDaycaseObstructive sleep apnoea

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