Related Experiment Video

Updated: May 1, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

29.2K

Risk factors for acute pulmonary edema after adenotonsillectomy in children

Nuntigar Sonsuwan1, Anothai Pornlert2, Kittisak Sawanyawisuth3

  • 1Department of Otorhinolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Auris, Nasus, Larynx
|April 22, 2014
PubMed

Insights

Adenotonsillectomy can lead to rare but fatal acute pulmonary edema in children. Key risk factors include the procedure itself, young age, obesity, and pulmonary hypertension.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Critical Care Medicine

Background:

  • Adenotonsillectomy is a frequent pediatric surgical procedure.
  • Acute pulmonary edema is a rare but potentially fatal complication.
  • Understanding associated risk factors is crucial for patient safety.

Purpose of the Study:

  • To identify factors associated with acute pulmonary edema post-adenotonsillectomy in children.
  • To inform clinical practice and improve patient outcomes.

Main Methods:

  • Retrospective analysis of pediatric patients (<15 years) undergoing adenotonsillectomy.
  • Data collected from January 2004 to December 2008.
  • Multiple logistic regression used to determine significant risk factors.

Main Results:

  • Four hundred and sixteen patients underwent adenotonsillectomy; 211 were included after exclusions.
  • Significant factors linked to post-operative pulmonary edema were identified.
  • These factors included the adenotonsillectomy procedure, younger age, obesity, and pulmonary hypertension.

Conclusions:

  • Adenotonsillectomy procedure, young age, obesity, and pulmonary hypertension are associated with acute pulmonary edema in children.
  • Clinicians must recognize these risk factors during adenotonsillectomy.
  • Awareness can help mitigate this rare complication.
Abstract

Keywords:
AdenoidectomyPost-operative complicationPredictorsPulmonary edemaTonsillectomy

More Related Videos

Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue07:38

Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue

Published on: June 14, 2020

6.9K
Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

2.5K

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.
3.9K
Pulmonary Edema II: Pathophysiology01:18

Pulmonary Edema II: Pathophysiology

Pulmonary edema is the accumulation of fluid in the interstitial and alveolar spaces of the lungs, impairing gas exchange and oxygen delivery. It may be cardiogenic or noncardiogenic, but both reduce oxygenation and lung compliance.Cardiogenic Pulmonary EdemaCardiogenic edema results from increased hydrostatic pressure in pulmonary capillaries, usually due to left ventricular dysfunction from myocardial infarction, heart failure, or valvular disease. Ineffective cardiac pumping causes blood to...
39
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.
679
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,...
16.7K
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
2.5K
Cerebral Edema l: Introduction01:19

Cerebral Edema l: Introduction

Cerebral edema is a pathological increase in brain water content that disrupts intracranial pressure regulation and impairs neurological function. Because the cranial vault is rigid, even modest increases in tissue volume can compromise cerebral perfusion, distort neural structures, and initiate secondary injury. Cerebral edema develops through four principal mechanisms: vasogenic, cytotoxic, interstitial, and ionic.Vasogenic EdemaVasogenic edema arises from disruption of the blood–brain...
30