Related Experiment Video

Updated: May 23, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

24.0K

Application of enhanced recovery after surgery in tonsillectomy and adenoidectomy

Jingyu Yao1, Zhenpeng Liao2, Jiaoping Mi2

  • 1Department of Anesthesiology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China.

Minerva Surgery
|May 22, 2025
PubMed

Insights

Enhanced Recovery After Surgery (ERAS) protocols significantly reduce hospital stay, costs, and pain for pediatric tonsillectomy and adenoidectomy patients. This approach improves recovery and lowers the incidence of postoperative nausea and vomiting.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Enhanced Recovery Protocols

Background:

  • Tonsillectomy and adenoidectomy are common pediatric procedures.
  • Optimizing postoperative recovery is crucial for young patients.

Purpose of the Study:

  • To evaluate the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols in pediatric patients undergoing tonsillectomy and adenoidectomy.
  • To compare patient outcomes between ERAS and traditional care pathways.

Main Methods:

  • A randomized controlled trial involving sixty pediatric patients.
  • Patients were allocated to either an ERAS group or a control group.
  • Key outcomes measured included hospital stay, operation time, bleeding, cost, complications, and pain scores (m-YPAS, FLACC, RSAS).

Main Results:

  • The ERAS group demonstrated significantly shorter hospital stays and lower total costs compared to the control group.
  • Postoperative nausea and vomiting incidence was reduced in the ERAS group.
  • Pain scores (RSAS, m-YPAS, FLACC) were significantly lower in pediatric patients managed with ERAS protocols.

Conclusions:

  • ERAS protocols are effective in reducing hospital charges and postoperative pain following pediatric tonsillectomy and adenoidectomy.
  • Implementation of ERAS can lead to improved patient outcomes and resource utilization in pediatric surgical care.
Abstract

More Related Videos

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

1.4K
Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue07:38

Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue

Published on: June 14, 2020

7.4K

Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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
229
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.
98
Chronic Pharyngitis01:23

Chronic Pharyngitis

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,...
829
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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...
38
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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...
158
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
54