Related Experiment Video
Updated: May 15, 2025
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
18.8K
Adenoidectomy as day surgery: feasibility and outcomes
Giuseppe Musella1, Andrea Luigi Ambrosoli1, Alessia Palluotto2
1ASST Sette Laghi, Department of Anesthesiology Del Ponte, Varese, Italy.
Summary
Day surgery adenoidectomy in children is safe, with a 2.3% unplanned admission rate. Key factors influencing admission include surgery end time, duration, and surgeon experience.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Health Services Research
Background:
- Adenoidectomy as day surgery is generally safe and cost-effective.
- Occasional overnight admissions occur for extended care needs.
- Investigating unplanned admission rates is crucial for optimizing day surgery protocols.
Purpose of the Study:
- To determine the unplanned admission rate following day surgery adenoidectomy in children.
- To identify factors associated with unplanned admissions after pediatric adenoidectomy.
Main Methods:
- Retrospective analysis of 3,396 pediatric adenoidectomies (2010-2023) in a tertiary center.
- Inclusion criteria: age > 2 years, ASA score I-II.
- Evaluation of factors: age, gender, surgery duration, surgeon experience, adverse events, multiple surgeries; univariate, multivariate analysis, ROC curves.
Main Results:
- The unplanned admission rate was 2.3%.
- Postoperative nausea/vomiting was the most frequent complication; respiratory issues were low.
- Multivariate analysis identified surgery end time (p < 0.001), surgical duration (p = 0.001), and surgeon experience (p < 0.001) as significant factors for unplanned admission.
Conclusions:
- Adenoidectomy as day surgery is safe and feasible in a tertiary setting.
- The study demonstrates a low rate of unplanned admissions and rare serious complications.
- Further research is recommended to validate findings across diverse settings and populations.
Related Concept Videos
01:29Suctioning the Nasopharyngeal Airway
221
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
221
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
33
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
33
01:26Tonsillitis II: Management
96
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
96
01:25Suctioning the Oropharyngeal Airway
153
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
153
01:23Chronic Pharyngitis
678
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,...
678
01:21Tracheostomy Decannulation
63
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
63