Severe OSA, age, growth pattern and race as indicators of respiratory complications after adenotonsillectomy.
DOI:
https://doi.org/10.30445/rear.v13i12.917Keywords:
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, growthAbstract
In wide range of pediatric obstructive sleep apnea hypopnea síndrome (OSAHS), tonsillectomy with adenoidectomy is the main treatment strategy. OSAHS severity evaluation, age and growth pattern are crucial to plan a day case surgery. The aim of this review is risk respiratory factors analysis of adenotonsillectomy (AA) perioperative period.
Severe OSAHS increases the incidence of adverse events, and polysomnography is the test of choice for its evaluation. However, it does not seem clearly associated with major complications or bleeding, so the experience of the equipment and the available resources can make a day case surgery possible.
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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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Published
2022-01-03
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Ferreras vega, R., Rubio Pascual, P., & Méndez Marín, M. D. (2022). Severe OSA, age, growth pattern and race as indicators of respiratory complications after adenotonsillectomy. Revista Electrónica AnestesiaR, 13(12). https://doi.org/10.30445/rear.v13i12.917
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