P J Robb1, B N Ewah. 1. Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, Epsom, UK.
Abstract
OBJECTIVE: To audit a protocol for elective, day-case, paediatric ENT surgery, previously reported as enabling an overall post-operative nausea and vomiting rate of 2 per cent and a discharge rate of 100 per cent on the day of surgery. METHOD: The audit included 91 children (45 boys and 46 girls) aged three to 14 years. Forty-seven children underwent tonsillectomy, 36 adenotonsillectomy and eight tonsillectomy with postnasal space examination; indications included recurrent tonsillitis, tonsillitis and nasal block, upper airway obstruction, and a combination of upper airway obstruction and recurrent tonsillitis. RESULTS: No post-operative nausea or vomiting was recorded in any of the children on the day of surgery, and no discharges were delayed. The reactionary haemorrhage rate was 1 per cent and the secondary haemorrhage rate 3.3 per cent. CONCLUSION: These findings have implications for the safe same-day discharge of children following tonsillectomy.
OBJECTIVE: To audit a protocol for elective, day-case, paediatric ENT surgery, previously reported as enabling an overall post-operative nausea and vomiting rate of 2 per cent and a discharge rate of 100 per cent on the day of surgery. METHOD: The audit included 91 children (45 boys and 46 girls) aged three to 14 years. Forty-seven children underwent tonsillectomy, 36 adenotonsillectomy and eight tonsillectomy with postnasal space examination; indications included recurrent tonsillitis, tonsillitis and nasal block, upper airway obstruction, and a combination of upper airway obstruction and recurrent tonsillitis. RESULTS: No post-operative nausea or vomiting was recorded in any of the children on the day of surgery, and no discharges were delayed. The reactionary haemorrhage rate was 1 per cent and the secondary haemorrhage rate 3.3 per cent. CONCLUSION: These findings have implications for the safe same-day discharge of children following tonsillectomy.
Authors: Sofia Konstantinopoulou; Paul Gallagher; Lisa Elden; Susan L Garetz; Ron B Mitchell; Susan Redline; Carol L Rosen; Eliot S Katz; Ronald D Chervin; Raouf Amin; Raanan Arens; Shalini Paruthi; Carole L Marcus Journal: Int J Pediatr Otorhinolaryngol Date: 2014-12-22 Impact factor: 1.675
Authors: Anchana Thongyam; Carole L Marcus; Justin L Lockman; Mary Anne Cornaglia; Aviva Caroff; Paul R Gallagher; Justine Shults; Joel T Traylor; Mark D Rizzi; Lisa Elden Journal: Otolaryngol Head Neck Surg Date: 2014-10-09 Impact factor: 3.497