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Pre-operative parameters do not reliably identify post-operative respiratory risk in children undergoing

Surendran Thavagnanam1,2, Saou Y Cheong3, Karuthan Chinna4

  • 1Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia.

Journal of Paediatrics and Child Health
|November 24, 2017
PubMed

Insights

This study found no clear risk factors for post-operative complications after adenotonsillectomy in children. Current criteria for pediatric intensive care unit (PICU) admission may need revision.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Critical Care Medicine

Background:

  • Adenotonsillectomy is a common procedure for pediatric tonsillitis and obstructive sleep apnea.
  • Children at risk for post-operative respiratory issues are often monitored in the pediatric intensive care unit (PICU).

Purpose of the Study:

  • To review risk factors for post-operative complications following adenotonsillectomy in children.
  • To evaluate the necessity and criteria for PICU admissions after this procedure.

Main Methods:

  • Retrospective review of medical records for children undergoing adenotonsillectomy from January 2011 to December 2014.
  • Statistical analysis using chi-square and Mann-Whitney tests to examine associations between demographic variables and complications.

Main Results:

  • Out of 214 children, 19 (8.8%) experienced post-operative complications, including respiratory (6.1%) and non-respiratory (12.1%) issues.
  • No significant association was found between demographic characteristics, comorbidities, or polysomnography parameters and post-operative complications.
  • 26 children (12.1%) were electively admitted to the PICU, with a mean stay of 19.5 hours.

Conclusions:

  • Existing risk factors and PICU admission criteria for pediatric adenotonsillectomy patients require re-evaluation.
  • New recommendations for patient monitoring and PICU admission are needed based on current findings.
Abstract

Keywords:
adenotonsillectomycomplicationobstructive sleep apnoeapost-operative

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