Navigation Links
Children exposed to secondhand tobacco or cooking smoke have very high rates of pain and complications after tonsillectomy
Date:6/1/2014

New research presented at this year's Euroanaesthesia meeting in Stockholm shows that children exposed to indoor coal-burning stoves and/or second-hand tobacco smoke are much more likely to suffer postoperative complications and excessive pain after tonsillectomies. The research is by Professor Daniel Sessler, Cleveland Clinic, Cleveland, Ohio, USA and Dr Onur Koyuncu, Mustafa Kemal University, Hatay, Turkey, and colleagues.

Almost half of the world's population uses solid fuel including biomass (wood, crop residues, and animal dung) or coal for heating and cooking. Because stoves are usually centrally positioned in homes and often the only source of heat, families tend to congregate around them and sleep nearby. Many stoves generate and release pollutants into household air including carbon monoxide. Children are also exposed to carbon monoxide via second-hand tobacco smoke, with estimates suggesting 40-70% of children are exposed worldwide.

Exposure to carbon monoxide results in carboxyhaemoglobin*, which may provoke postoperative complications. Elevated carboxyhaemoglobin concentrations may also increase pain sensitivity. The investigators therefore tested the primary hypothesis that children with high preoperative carboxyhaemoglobin concentrations have more postoperative complications and pain after tonsillectomies. Secondarily they tested the hypothesis that high carboxyhaemoglobin concentrations are associated with more pain and painkiller use.

100 Turkish children scheduled for elective tonsillectomy were divided into low and high carbon monoxide exposure groups: carboxyhaemoglobin ≤3 or ≥4 g/dl. The primary outcome was complications during the seven days after surgery which included bronchospasm, laryngospasm, persistent coughing, desaturation (low blood oxygen), the need for re-intubation, low blood pressure, postoperative bleeding, and reoperation. Pain was evaluated with Wong-Baker Faces pain scales, and supplemental use of the painkiller tramadol was recorded for four hours postoperatively.

There were 36 patients in the low exposure group carboxyhemoglobin [mean 1.8 g/dl], and 64 patients were in the high exposure group [mean 6.4 g/dl]. Indoor coal-burning stoves were reported more often by families of the high than low carboxyhemoglobin children (89% versus 72%). Second-hand cigarette smoke exposure was reported by 54% of the families with children with high carboxyhaemoglobin, but only by 24% of the families of children with low carboxyhaemoglobin .

Complications were more common in patients with high carboxyhaemoglobin (47% versus 14% in the low group), with most occurring in the postanaesthesia care unit. Pain scores in the postanaesthesia care unit and one hour after surgery were significantly lower in the low exposure group. Similarly, tramadol use was lower in the low-exposure group at both 4 hours (3.5 vs. 6.0 mg) and 24 hours (3.5 vs. 6.0 mg).

The authors conclude: "Children exposed to substantial environmental carbon monoxide have more complications and more pain after general anaesthesia than less exposed children."


'/>"/>

Contact: Daniel I. Sessler
DS@OR.org
216-870-2620
ESA (European Society of Anaesthesiology)
Source:Eurekalert

Related medicine news :

1. IntegraGen launches ARISk test, a genetic screening tool for autism in high-risk children
2. In children born with severe heart defect, surgical management has little effect on neuro outcomes
3. Children Born to Obese Moms May Face Higher Autism Risk: Study
4. Supporting LGB children may influence their long-term health, BU study finds
5. Out-of-hand tree nut consumption associated with better diet quality in children and adults
6. BASPCAN - UK-wide increase in number of children
7. Nearly 1 in 4 grandparents store prescription medicines where children can easily find them
8. U.S. Children Exposed to Hours of Background TV Daily
9. Leaders in childrens health to gather in Boston
10. Dietary changes help some children with ADHD
11. Bullied Children at Greater Risk for Self-Harm, Study Finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their pencils ... an essay contest in which patients and their families pay tribute to a genetic ... 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the ... in the world, and the most handsome men, look naturally attractive. Plastic surgery ...
(Date:6/24/2016)... ... 2016 , ... Strategic Capital Partners, LLC (SCP) in concert ... capital for emerging technology companies. SCP has delivered investment events and professional ... than a million dollars of capital investment for five companies. The ...
(Date:6/24/2016)... ... June 24, 2016 , ... Venture Construction Group (VCG) ... held on June 20th at the Woodmont Country Club at 1201 Rockville Pike, Rockville, ... dedicated to helping service members that have been wounded in battle and their families. ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... June 27, 2016  VMS Rehab Systems, Inc. ( ... take whatever measures required to build a strong and ... is currently listed on the OTC Markets-pink current trading ... and CEO, "We are seeing an anomaly in market ... not only by the Company, but shareholders and market ...
(Date:6/24/2016)... CHAPEL HILL, N.C. , June 24, 2016 ... in healthcare decisions and regulators/payers have placed more ... this new environment, patient support programs in the ... support for patients, medications. Consequently, pharmaceutical companies are ... to ensure they are providing products and services ...
(Date:6/24/2016)... 24, 2016  Global Blood Therapeutics, Inc. (GBT) (NASDAQ: ... novel therapeutics for the treatment of grievous blood-based ... closing of its previously announced underwritten public offering ... public offering price of $18.75 per share. All ... by GBT. GBT estimates net proceeds from the ...
Breaking Medicine Technology: