Related Experiment Video
Updated: Dec 2, 2025
07:38
Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue
Published on: June 14, 2020
7.9K
Detection of Respiratory Pathogens Does Not Predict Risks After Outpatient Adenotonsillectomy
Donald M Vickers1, Arundathi Reddy2, Chary Akmyradov3
1Otolaryngology-Head and Neck Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, U.S.A.
The Laryngoscope
|November 5, 2020
Summary
Detectable upper respiratory infections (URIs) at the time of pediatric adenoidectomy/tonsillectomy do not increase surgical risks or complications. Preoperative URI testing is not recommended, and delaying surgery for a positive URI test is unnecessary in healthy children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Infectious Diseases
Background:
- Upper respiratory infections (URIs) are common in children.
- The impact of concurrent URIs on pediatric adenoidectomy/tonsillectomy outcomes is not well-defined.
Purpose of the Study:
- To investigate the association between detectable URIs during surgery and postoperative morbidity in pediatric patients undergoing adenoidectomy/tonsillectomy.
- To assess the clinical utility of preoperative URI testing in this patient population.
Main Methods:
- Prospective, double-blinded cohort study of 164 pediatric patients undergoing outpatient adenoidectomy/tonsillectomy.
- Intraoperative nasopharyngeal swabs analyzed via PCR for 22 URIs, including SARS-CoV-2.
- Comparison of intraoperative and postoperative events between infected and uninfected patients.
Main Results:
- 82.9% of patients had at least one URI; 25% had three or more.
- No significant differences in admission rates, PACU stay, laryngospasm, oxygen desaturation, bradycardia, or ED visits between infected and uninfected groups.
- No SARS-CoV-2 infections detected.
Conclusions:
- A positive URI test does not increase intraoperative or postoperative risks for healthy children undergoing outpatient adenoidectomy/tonsillectomy.
- Preoperative URI testing and surgical delay due to a positive URI are not warranted in this population.
Related Concept Videos
01:30Tonsillitis I: Introduction
1.1K
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.
Etiology
Three primary contributing factors have been identified.
1.1K
01:19Respiratory Assessment: Purpose and Indications
1.5K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.5K
01:26Tonsillitis II: Management
286
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
286
01:26Endoscopic Studies II: Thoracocentesis
949
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...
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...
949
01:30Respiratory System Abnormal Finding I: Inspection and Percussion
600
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
600
01:23Chronic Pharyngitis
8.6K
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,...
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,...
8.6K