International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2004
Clinical Trial Controlled Clinical TrialEfficacy of bupivacaine for post-tonsillectomy pain: a study with the intra-individual design.
To determine the effectiveness of postoperative local anesthesia in tonsillectomy patients using an intra-individual study design. ⋯ Postoperative local bupivacaine infiltration in tonsillectomy patients was effective in children.
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There is a controversy about day stay pediatric tonsillectomy in the UK and Australia. New Zealand has a similar health structure and we wished to compare day stay tonsillectomy from our hospital with those reported from other centers. ⋯ This study was performed in a health system similar to that of Australia and the UK. Complication and conversion rates are similar to those reported in North American centers. Pediatric day stay tonsillectomy is a safe procedure when performed with strict preoperative criteria, trained day stay unit (DSU) staff, and with in-patient facilities on site.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2004
Outcome of adenotonsillectomy for severe obstructive sleep apnea in children.
To study changes in sleep behavior and quality of life in children after adenotonsillectomy for severe obstructive sleep apnea identified by a respiratory distress index > or = 30. ⋯ Children with severe OSA who undergo adenotonsillectomy show a significant improvement in RDI and in quality of life over a period of several months after surgery. However, OSA does not resolve in the majority of these children and post-operative PSG is recommended to identify those who may require additional therapy.