Gravedad del síndrome de apnea-hipopnea obstructiva del sueño, raza, edad y patrón de crecimiento como indicadores de complicaciones respiratorias tras adenoamigdalectomía, en paciente pediátrico
DOI:
https://doi.org/10.30445/rear.v13i12.917Palabras clave:
adenoamigdalectomía, amigdalectomía, niño, paciente pediátrico, complicaciones, sahos, edad, raza, crecimiento, cirugía ambulatoria, cma, OSAHS, osa, Adenotonsillectomy, children, respiratory complications, bleeding, sangrado, complicaciones respiratorias, sindrome de apnea, apnea obstructiva en niños, laringoespasmo, broncoespasmo, complicaciones amigdalectomía en niños, complicaciones adenoamigdalectomía en niños, anestesia pediátrica amigdalectomía, day case amigdalectomy, children complications, growthResumen
En la mayor parte de los casos de SAHOS pediátrico, el tratamiento de elección, es la amigdalectomía con adenoidectomía. En la consulta preanestésica, la evaluación de la gravedad del SAHOS, edad, crecimiento y raza pueden ser relevantes si se quiere optar por un circuito ambulatorio. El objetivo de este artículo, es la revisión de los factores de riesgo para sufrir complicaciones respiratorias, en el perioperatorio de amigdalectomía y adenoamigdalectomía.
El SAHOS grave aumenta la incidencia de eventos adversos, siendo la polisomnografía es la prueba de elección para su evaluación. Sin embargo, no parece claramente asociada con complicaciones mayores o sangrado, por lo que la experiencia del equipo y los recursos disponibles, pueden hacer posible una CMA para AA.
Citas
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- Bonuck K,Parikh S,Bassila M. Growth failure and sleep disordered breathing: a review of the literature. Int J Pediatr Otorhinolaryngol. 2006;70(5):769-78
- Julien-Marsollier F, Salis P, Abdat R, Diallo T, Van Den Abbelle T, Dahmani S. Predictive factors of early postoperative respiratory complications after tonsillectomy in children with unidentified risks for this complication. Anaesth Crit Care Pain Med. 2018;37(5):439-445.
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Lectura recomendada:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5330066/
- Schlaud M, Urschitz MS, Urschitz-Duprat PM, Poets CF. The German study on sleep-disordered breathing in primary school children: epidemiological approach, representativeness of study sample, and preliminary screening results. Paediatr Perinat Epidemiol.2004; 18(6):431-40.
- Raman VT, Jatana KR, Elmaraghy CA, Tobias JD. Guidelines to decrease unanticipated hospital admission following adenotonsillectomy in the pediatric population. Int J Pediatr Otorhinolaryngol. 2014;78(1):19-22
- Lawlor CM, Riley CA, Carter JM Rodriguez KH. Association Between Age and Weight as Risk Factors for Complication After Tonsillectomy in Healthy Children.JAMA Otolaryngol Head Neck Surg. 2018;144(5):399-405.
- McCormick ME, Sheyn A, Haupert M, Thomas R, Folbe AJ. Predicting complications after adenotonsillectomy in children 3 years old and younger. Int J Pediatr Otorhinolaryngol. 2011;75(11):1391-4.
- Garg RK, Afifi AM, Garland CB, Sanchez R, Mount DL Pediatric Obstructive Sleep Apnea: Consensus, Controversy, and Craniofacial Considerations. Plast Reconstr Surg. 2017; 140(5):987-997
- McGrath B, Lerman J. Pediatric sleep-disordered breathing: an update on diagnostic testing.Curr Opi1n Anaesthesiol. 2017;30(3):357-361.
- De Luca Canto G, Pachêco-Pereira C, Aydinoz S, Bhattacharjee R, Tan HL, Kheirandish-Gozal L, Flores-Mir C, Gozal D. Adenotonsillectomy Complications: A Meta-analysis. Pediatrics. 2015;136(4):702-18.
- Kang KT ,Chang IS,Tseng CC Weng WC, Hsiao TY, Lee PL Hsu WC. Impacts of disease severity on postoperative complications in children with sleep-disordered breathing.Laryngoscope. 2017;127(11):2646-2652.
- Arambula AM, Xie DX Whigham AS.Respiratory events after adenotonsillectomy requiring escalated admission status in children with obstructive sleep apnea.Int J Pediatr Otorhinolaryngol. 2018 Apr;107:31-36.
- Statham MM, Elluru RG, Buncher R,Kalra M. Adenotonsillectomy for obstructive sleep apnea syndrome in young children: prevalence of pulmonary complications.Arch Otolaryngol Head Neck Surg. 2006;132(5):476-80.
- Bonuck K,Parikh S,Bassila M. Growth failure and sleep disordered breathing: a review of the literature. Int J Pediatr Otorhinolaryngol. 2006;70(5):769-78
- Julien-Marsollier F, Salis P, Abdat R, Diallo T, Van Den Abbelle T, Dahmani S. Predictive factors of early postoperative respiratory complications after tonsillectomy in children with unidentified risks for this complication. Anaesth Crit Care Pain Med. 2018;37(5):439-445.
- Horwood L, Nguyen LH, Brown K, Paci P, Constantin E. African American ethnicity as a risk factor for respiratory complications following adenotonsillectomy. AMA Otolaryngol Head Neck Surg. 2013;139(2):147-152
-Kou YF, Sakai M, Shah GB, Mitchell RB, Johnson RF. Postoperative respiratory complications and racial disparities following inpatient pediatric tonsillectomy: A cross-sectional study. Laryngoscope. 2019; 129(4):995-1000.
Lectura recomendada:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5330066/
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2022-01-03
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Ferreras vega, R., Rubio Pascual, P., & Méndez Marín, M. D. (2022). Gravedad del síndrome de apnea-hipopnea obstructiva del sueño, raza, edad y patrón de crecimiento como indicadores de complicaciones respiratorias tras adenoamigdalectomía, en paciente pediátrico. Revista Electrónica AnestesiaR, 13(12). https://doi.org/10.30445/rear.v13i12.917
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