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Incidence of Anesthetic Related Complications in Children with Sleep Disordered Breathing Following Adenotonsillectomy
Author(s) -
Eaglin JM,
Rodriquez CG,
Wang AS,
Kierce JF,
Dodson KM
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.22296
Subject(s) - medicine , otorhinolaryngology , sleep disordered breathing , incidence (geometry) , emergency department , pediatrics , surgery , obstructive sleep apnea , mathematics , psychiatry , geometry
Over the past decade, there has been a trend towards outpatient procedures. In general, research has shown that outpatient adenotonsillectomy is safe in children1. There remains a concern in certain populations for increased risk of adverse events, in particular young children with sleep disordered breathing (SDB)2. This creates a management dilemma for practitioners performing this procedure. What is the ideal observation period for children with sleep disordered breathing to capture post operative anesthetic complications? Mitchell et al. suggested that an observation period of four hours is adequate in children less than three years of age3. Meanwhile, Lalakea et al. showed that observation for 2.5 hours was appropriate to capture all events in a broader age range (mean 6.2 years)4. Our study was designed to evaluate the incidence, nature and timing of adverse events in children undergoing adenotonsillectomy at our institution to better elucidate the ideal observation period needed in these children.