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To proceed or not to proceed: ENT surgery in paediatric patients with acute upper respiratory tract infection

S Shemesh1, S Tamir1, A Goldfarb1

  • 1Department of Otolaryngology - Head and Neck Surgery,Edith Wolfson Medical Centre,Tel Aviv University Sackler School of Medicine,Holon,Israel.

The Journal of Laryngology and Otology
|July 26, 2016
PubMed

Insights

Upper respiratory tract infections (URTIs) often cancel surgeries. A new algorithm helps surgeons decide whether to proceed with elective ENT surgery in children with URTI, balancing risks and benefits.

Area of Science:

  • Otolaryngology
  • Pediatric Anesthesia
  • Infectious Disease

Background:

  • Upper respiratory tract infections (URTIs) are a leading cause of non-preventable surgical cancellations.
  • This presents a common dilemma for surgeons and anesthesiologists performing elective Ear, Nose, and Throat (ENT) procedures in children.

Purpose of the Study:

  • To address the challenge of managing elective pediatric ENT surgeries in children with URTIs.
  • To provide a structured approach for decision-making regarding surgery postponement versus proceeding.

Main Methods:

  • A comprehensive literature review was performed.
  • A practical assessment algorithm was developed to guide clinical decisions.

Main Results:

  • The decision requires careful consideration of the benefits of the intended surgery against the risks of general anesthesia in an inflamed airway.
  • The proposed algorithm offers a systematic tool for this risk-benefit analysis.

Conclusions:

  • The developed algorithm can aid clinicians in making informed decisions about proceeding with or postponing pediatric ENT surgery.
  • This tool aims to optimize patient outcomes by managing the complexities of URTIs in surgical candidates.
Abstract

Keywords:
AnesthesiaOtorhinolaryngologySurgeryUpper Respiratory Tract Infections

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