Navigation Links
Sleep evaluation may help identify kids at risk for respiratory complications after tonsil surgery
Date:1/17/2011

Performing polysomnography (sleep study) prior to pediatric adenotonsillectomy (surgical removal of the tonsils and adenoids) may help identify children at a higher risk of developing postoperative respiratory complications, according to a report in the January issue of Archives of Otolaryngology - Head Neck Surgery, one of the JAMA/Archives journals.

"Pediatric adenotonsillectomy is a safe outpatient procedure; however, there is a subset of patients who do not meet the criteria for outpatient surgery," according to background information in the article. Guidelines for adenotonsillectomy, established by the American Academy of OtolaryngologyHead and Neck Surgery, recommend that children should be healthy, have no evidence of obstructive sleep apnea-hypopnea syndrome (recurring episodes of obstruction or collapse of the upper airway during sleep) and be older than 3 years.

To determine if polysomnography may potentially predict adverse outcomes following a pediatric adenotonsillectomy, Eric M. Jaryszak, M.D., of the George Washington University School of Medicine, Washington, D.C., and colleagues, examined the records of 1,131 children who underwent an adenotonsillectomy by two attending surgeons at an academic pediatric hospital.

Preoperative polysomnography was performed on 151 patients, representing 13.4 percent of all those undergoing adenotonsillectomy. Of these, 23 (15.2 percent) experienced adverse respiratory events after surgery. Results of the polysomnography showed that patients who experienced respiratory complications had significantly higher apnea-hypopnea index (provides an overall severity of sleep apnea including sleep disruptions or low levels of oxygen in the blood), higher hypopnea index (episodes of overly shallow breathing or abnormally low respiratory rates) and lower nadir oxygen saturation (the lowest level of oxygen saturation).

Additionally, the 23 individuals who experienced complications had a higher body mass index (BMI) compared with those who did not have complications, with 47.8 percent defined as obese, according to BMI criteria, versus 29.7 percent in the non-complication subgroup.

Overall, the patients who experienced adverse respiratory events spent an additional 22 days in the hospital beyond routine overnight observation for persons with obstructive sleep apnea-hypopnea syndrome.

"Polysomnographic data may potentially be used for predicting which patients are at higher risk for adverse respiratory events after adenotonsillectomy," the authors conclude. "Such knowledge is valuable in planning postoperative management and perhaps intraoperative anesthesia management."


'/>"/>

Contact: Emily Dammeyer
edammeye@cnmc.org
202-476-4500
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Room light before bedtime may impact sleep quality, blood pressure and diabetes risk
2. Sleep-disordered breathing comes at a heavy cost
3. Common Sleep Apnea Therapy Relieves Fatigue: Study
4. Study shows that CPAP therapy reduces fatigue, increases energy in patients with sleep apnea
5. Researchers Find Links Between Sleep, Anesthesia and Coma
6. Could Santas Lack of Sleep on Christmas Eve Harm His Health?
7. Sleep Deprivation May Help Treat PTSD
8. Military Deployment May Lead to Unhealthy Sleep Patterns
9. Sleepless soldiers: Study suggests that military deployment affects sleep patterns
10. People with sleep apnea at higher risk for aggressive heart disease
11. Wake up, Mom -- study shows gender differences in sleep interruptions
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/17/2017)... ... January 17, 2017 , ... ... companies and ranked among the top US security companies for consecutive years, today ... This announcement brings a year-long independent board nomination process to a close and ...
(Date:1/17/2017)... (PRWEB) , ... January 17, 2017 , ... ... Center and the Montclair State University’s Athletic Training Education program forged a relationship ... Athletic Training Education Program, which is consists of both student members and ...
(Date:1/16/2017)... ... ... California Southern University has named Dr. Steven Beazley University President. ... a core faculty member, teaching master’s and doctoral courses in the university’s School of ... where he earned his Doctor of Psychology degree in 1998. Dr. Beazley also has ...
(Date:1/16/2017)... ... January 16, 2017 , ... With the Grand Opening Event planned for ... use by sports teams and the general public. Built in five months by Centerpoint, ... be converted into basketball or pickleball courts. The space is also suitable for indoor ...
(Date:1/16/2017)... ... January 16, 2017 , ... As New York’s ... Victor Giamos, MD to their medical staff, according to eye surgeon, Jeffrey Martin, ... Eye Care, a division of SightMD. Dr. Giamos will practice primarily out of ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... Calif. and KANSAS CITY, ... Children,s Hospitals Neonatal Consortium (CHNC) has selected Velos ... their visionary data management and multicenter initiatives. ... organization comprised of 32 Neonatal Intensive Care Units ... America . The consortium provides a benchmark ...
(Date:1/17/2017)... , Jan. 17, 2016  Attorney Advertising -- Bronstein, Gewirtz ... purchasers of Anthera Pharmaceuticals, Inc. ("Anthera" or the "Company") (NASDAQ: ... additional information and assist the investigation by visiting the firm,s ... Anthera and certain of its officers and/or directors have violated ... 1934. ...
(Date:1/17/2017)...   Tocagen Inc ., a clinical-stage, cancer-selective gene therapy company, ... research and pharmaceutical development at Tocagen, will present at Phacilitate ... 17-20 in Miami . Details ... ... replicating viruses - what to do when and why Date and ...
Breaking Medicine Technology: