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[Sluder's adenotonsillectomy: with or without endotracheal intubation?]
J J Mulder1, J P de Mönnink, P M de Grood
1Academisch Ziekenhuis St. Radboud, afd. Keel-, Neus-en Oorheelkunde, Nijmegen.
Nederlands Tijdschrift Voor Geneeskunde
|December 30, 1995
Summary
Adenotonsillectomy in children showed similar bleeding rates whether or not endotracheal intubation was used. Intubation anesthesia led to more fever but fewer tonsillar remnants, with longer procedure times.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Anesthesiology
Background:
- Adenotonsillectomy is a common pediatric surgical procedure.
- Anesthesia techniques, including endotracheal intubation, may influence outcomes and complications.
Purpose of the Study:
- To compare the results and complications of adenotonsillectomy performed with or without endotracheal intubation in children.
Main Methods:
- Retrospective descriptive study.
- Review of medical records for 1011 children (511 non-intubated, 500 intubated).
- Parental questionnaires for postoperative assessment.
Main Results:
- Overall postoperative hemorrhage rate was 4.35% (5.1% non-intubated vs. 3.6% intubated, p > 0.05).
- Intubated group had higher rates of postoperative fever (p < 0.01) but fewer tonsillar remnants (p < 0.005).
- Intubation anesthesia significantly increased procedure time (18 min vs. 11 min).
Conclusions:
- Endotracheal intubation is recommended in training settings due to increased available time.
- Experienced surgeons may experience fewer complications with intubation, but this requires further investigation.