Related Experiment Video

Updated: Aug 14, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

24.7K

Modified dindo-clavien system for registration of perioperative complications in children undergoing

Philipp Arens1, Juliane Hardt2,3, Julie Charlotte Angrick1

  • 1Department of Otorhinolaryngology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Frontiers in Pediatrics
|January 16, 2023
PubMed

Insights

The Dindo-Clavien system effectively tracks adenotonsillectomy complications in children. This classification helps identify patients at higher risk for severe adverse events, improving perioperative safety.

Area of Science:

  • Pediatric Otolaryngology
  • Surgical Safety
  • Clinical Outcomes Research

Background:

  • Adenotonsillectomy is a common pediatric otolaryngologic procedure.
  • Perioperative safety and complication documentation are critical.
  • Standardized reporting systems enhance data consistency and comparability.

Purpose of the Study:

  • To investigate perioperative complications in children undergoing adenotonsillectomy.
  • To evaluate the utility of the Dindo-Clavien classification system in this pediatric cohort.
  • To identify clinical factors associated with perioperative complications.

Main Methods:

  • Retrospective evaluation of 402 pediatric patients undergoing adenotonsillectomy (2009-2015).
  • Documentation and classification of all perioperative complications using the Dindo-Clavien system.
  • Statistical analysis to identify associations between complications and patient/procedural parameters.

Main Results:

  • 124 complications were documented (106 mild, 16 severe), with most classified as Dindo-Clavien grade I or II.
  • Complications were associated with additional diagnoses, long-term medication, hospitalization duration, surgery duration, tonsillotomy/tonsillectomy type, ASA score, and OSA-18 score.
  • Severe complications (grade III-IV) were linked to premature birth, additional diagnoses, long-term medication, and ASA score.

Conclusions:

  • The Dindo-Clavien classification is applicable and valuable for reporting complications in pediatric adenotonsillectomy.
  • This system aids in identifying patient subgroups at risk for severe complications.
  • Standardized reporting enhances understanding and management of perioperative safety in pediatric otolaryngology.
Abstract

Keywords:
adenotonsillectomycomplication reportingdindo-clavien classificationpediatricssleep apnea

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.7K
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

19.9K

Related Concept Videos

Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
155
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
22
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
16
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
109