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.
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 SCDchildren 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 SCDchildren who undergo adenotonsillectomy. EBM RATING: C-4.
Authors: Anthony J Grady; Jane S Hankins; Brent Haberman; Robert Schoumacher; Rose Mary Stocks Journal: Sleep Breath Date: 2017-01-11 Impact factor: 2.816
Authors: A Parker Ruhl; S Christy Sadreameli; Julian L Allen; Debra P Bennett; Andrew D Campbell; Thomas D Coates; Dapa A Diallo; Joshua J Field; Elizabeth K Fiorino; Mark T Gladwin; Jeffrey A Glassberg; Victor R Gordeuk; Leroy M Graham; Anne Greenough; Jo Howard; Gregory J Kato; Jennifer Knight-Madden; Benjamin T Kopp; Anastassios C Koumbourlis; Sophie M Lanzkron; Robert I Liem; Roberto F Machado; Alem Mehari; Claudia R Morris; Folasade O Ogunlesi; Carol L Rosen; Kim Smith-Whitley; Danna Tauber; Nancy Terry; Swee Lay Thein; Elliott Vichinsky; Nargues A Weir; Robyn T Cohen; Elizabeth S Klings Journal: Ann Am Thorac Soc Date: 2019-09
Authors: Ilaria Liguoro; Michele Arigliani; Bethany Singh; Lisa Van Geyzel; Subarna Chakravorty; Cara Bossley; Maria Pelidis; David Rees; Baba P D Inusa; Atul Gupta Journal: ERJ Open Res Date: 2020-10-26