Perioperative management of sickle cell disease children undergoing adenotonsillectomy. Otolaryngol Head Neck Surg 2006 Mar;134(3):370-3
Date
02/28/2006Pubmed ID
16500429DOI
10.1016/j.otohns.2005.11.001Scopus ID
2-s2.0-33144464486 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
OBJECTIVE: To determine if outpatient tailored perioperative management has the same complication rate as that previously published for sickle cell disease (SCD) children who undergo adenotonsillectomy.
STUDY DESIGN AND SETTING: Retrospective chart review of SCD children who underwent tonsillectomy with outcome measures of perioperative management and postsurgical complications.
RESULTS: Of 41 patients, 61% were monitored for <24 hours with the average length of stay being 2 days (range, 1 to 10). Postoperative complications were noted in 9 (22%) patients, including 8 (20%) with hypoxia, 4 (10%) fever, 3 (8%) acute chest syndrome, and 1 (2.4%) airway fire, which are similar to the published literature.
CONCLUSIONS: Current literature supports extensive perioperative management with hospital stays averaging 3 to 5 days. These data demonstrate that the majority of these patients can be managed with <24-hour hospitalization stays with similar complication rates as previously described in the literature.
SIGNIFICANCE: This study establishes a new paradigm for perioperative management of SCD children who undergo adenotonsillectomy.
EBM RATING: C-4.
Author List
Duke RL, Scott JP, Panepinto JA, Flanary VAAuthor
Valerie A. Flanary MD Director, Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdenoidectomyAdolescent
Ambulatory Surgical Procedures
Anemia, Sickle Cell
Blood Transfusion
Child
Child, Preschool
Fever
Humans
Hypoxia
Length of Stay
Lung Diseases
Perioperative Care
Postoperative Complications
Retrospective Studies
Syndrome
Tonsillectomy
Treatment Outcome
