Postoperative Monitoring Following Adenotonsillectomy for Severe Obstructive Sleep Apnea
| Autor: | Grant Muller, Anas Eid, Amanda Kull, Tim Head, Boyd Gillespie, Madhu Mamidala, Cecil Bryant Rhodes, Anthony Sheyn |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Rhinology medicine.medical_specialty Adolescent Critical Care Polysomnography Intensive Care Units Pediatric Pacu law.invention Adenoidectomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors law medicine Humans 030212 general & internal medicine Postoperative monitoring Craniofacial Child 030223 otorhinolaryngology Tonsillectomy Postoperative Care Sleep Apnea Obstructive biology business.industry Infant General Medicine Airway obstruction medicine.disease biology.organism_classification Intensive care unit Hospitalization Obstructive sleep apnea Treatment Outcome Otorhinolaryngology Child Preschool Emergency medicine Female business |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 127:783-790 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/0003489418794700 |
| Popis: | Introduction:Patients undergoing adenotonsillectomy (T&A) for severe obstructive sleep apnea (OSA) are usually admitted for observation, and many surgeons use the intensive care unit (ICU) for observation due to the risk of postsurgical airway obstruction. Given the limited resources of the pediatric ICU (PICU), there is a push to better define the patients who require postoperative monitoring in the PICU for monitoring severe OSA.Methods:Forty-five patients were evaluated. Patients who had cardiac or craniofacial comorbidities were excluded. Patients undergoing T&A for severe OSA were monitored in the postanesthesia care unit (PACU) postoperatively. If patients required supplemental oxygen or developed hypoxia while in the PACU within the 3-hour monitoring period, they were admitted to the PICU.Results:Overall, 16 of 45 patients were admitted to the ICU for monitoring. Patients with an Apnea-Hypopnea Index (AHI) >50 or with an oxygen nadir Conclusion:Based on the data presented here and academy recommendations, not all patients with severe OSA require ICU monitoring. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|