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Guidelines for Elective Pediatric Fiberoptic Intubation

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Developing a nurse-delivered frenulotomy service.

Katie Rose¹, Anand V Kasbekar², Alison Flynn²

¹Alder Hey Children's NHS Foundation Trust, Liverpool, UK Katierose100@gmail.com.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

|October 24, 2014

Summary

A nurse-led tongue tie (ankyloglossia) service offers a safe and cost-effective treatment for infants, reducing costs and wait times without impacting patient satisfaction.

Keywords:

ankyloglossia frenulotomy tongue tie

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Area of Science:

Pediatric care
Surgical procedures

Background:

Tongue tie (ankyloglossia) affects 4-10% of infants, causing breastfeeding difficulties.
Frenulotomy is an effective treatment for ankyloglossia.

Purpose of the Study:

To evaluate a nurse-delivered frenulotomy service at a pediatric hospital.
To assess the safety, cost-effectiveness, and patient satisfaction of this model.

Main Methods:

Observational study at a tertiary pediatric hospital.
Outpatient tongue tie clinic managed by a senior nurse.
Standard frenulotomy technique without anesthesia, with patient satisfaction data collection.

Main Results:

Increased referrals from 57 (2009) to 296 (2012).
Nurse- and doctor-delivered treatments showed similar parent satisfaction.
Potential savings of £3830 in 2012 with nurse-delivered care.

Conclusions:

Nurse-delivered outpatient frenulotomy is safe and cost-effective.
This model reduces costs and waiting times while maintaining care quality and patient satisfaction.