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Anesthesia and analgesia · Feb 2004
Clinical TrialThe incidence of laryngospasm with a "no touch" extubation technique after tonsillectomy and adenoidectomy.
- Ban C H Tsui, Alese Wagner, Dominic Cave, Clark Elliott, Hamdy El-Hakim, and Stephan Malherbe.
- Department of Anesthesiology and Pain Medicine, University of Alberta Hospitals, Edmonton, Canada. btsui@ualberta.ca
- Anesth. Analg. 2004 Feb 1;98(2):327-9, table of contents.
UnlabelledIn this case series, we evaluated the incidence of laryngospasm using a clearly defined awake tracheal extubation technique in 20 children undergoing elective tonsillectomy with or without adenoidectomy. This technique required patients to be turned to the recovery position at the end of the procedure before discontinuing the volatile anesthetics. No further stimulation, besides continuous oximetry monitoring, was allowed until the patients spontaneously woke up ("no touch" technique). The incidence of laryngospasm, oxygen saturation, and coughing was recorded. No cases of laryngospasm, oxygen desaturation, or severe coughing occurred in our patient population.ImplicationsThis study re-emphasizes the importance of a sound anesthetic technique in tracheally extubating pediatric patients.
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