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Published on: December 6, 2016
An enhanced recovery programme improves the comfort and outcomes in children with obstructive sleep apnoea undergoing
Yu Zhang1, Dawei Liu1, Xiumei Chen1
1Department of Otolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China.
Insights
The enhanced recovery after surgery (ERAS) program significantly improved postoperative rehabilitation for children with obstructive sleep apnea (OSA) undergoing adenotonsillectomy. ERAS reduced complications, pain, and anxiety while improving diet.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Sleep Medicine
Background:
- Obstructive sleep apnea (OSA) is common in children undergoing adenotonsillectomy.
- Postoperative recovery can be challenging for these patients.
Purpose of the Study:
- To evaluate the impact of an enhanced recovery after surgery (ERAS) program on children with OSA undergoing adenotonsillectomy.
- To assess the effects on postoperative rehabilitation, including complications, pain, anxiety, and diet.
Main Methods:
- Retrospective historical control study involving 394 children with OSA.
- Comparison between an ERAS group (208 patients) and a control group (186 patients).
- ERAS group received combined perioperative optimization measures; control group received traditional care.
Main Results:
- The ERAS group showed a significantly lower overall complication rate and incidence of fever.
- Patients in the ERAS group experienced less post-surgical pain and improved dietary intake.
- ERAS was associated with lower preoperative anxiety scores.
Conclusions:
- An ERAS program, utilizing combined optimization measures, effectively reduces physical and psychological trauma in children with OSA undergoing adenotonsillectomy.
- ERAS promotes better postoperative outcomes and rehabilitation.
Objective:
To explore the effects of an enhanced recovery after surgery (ERAS) programme on postoperative rehabilitation in children with obstructive sleep apnoea (OSA) during the perioperative period of adenotonsillectomy.
Design:
A retrospective historical control study.
Setting:
Service improvement project.
Participants:
The study included 394 children with OSA (207 males, 187 females; age range, 2.5 years to 14 years) who underwent adenotonsillectomy.
Main Outcome Measures:
The children who had undergone adenoidal ablation and bilateral tonsillectomy were divided into an ERAS group (208 patients) treated with the combined optimisation measures and a control group (186 patients) treated with traditional measures during the perioperative period. The postoperative incidence of complications, pain scores, anxiety scores and postoperative diets in the two groups were assessed.
Results:
Patients in the ERAS group had significantly a lower overall complication rate and incidence of fever for 2 weeks of follow-up when compared to patients in the control group through the application of perioperative optimisation measures. Furthermore, patients in the ERAS group had less post-surgical pain, had better dietary intake at days 1, 3 and 7 after surgery and had lower preoperative anxiety scores after admission education and while waiting in the operation room.
Conclusion:
The ERAS programme consisting of combined optimisation measures can reduce physical and psychological trauma during the perioperative period of adenotonsillectomy performed for children with OSA.
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