International journal of pediatric otorhinolaryngology
-
Int. J. Pediatr. Otorhinolaryngol. · May 2015
Randomized Controlled TrialThe effect of KETODEX on the incidence and severity of emergence agitation in children undergoing adenotonsillectomy using sevoflurane based-anesthesia.
Postoperative emergency agitation (EA) is a common problem often observed in children undergoing general anesthesia. The purpose of this study was to evaluate whether a bolus of intraoperative low-dose ketamine followed by dexmedetomidine i.v. could reduce the incidence of EA in children undergoing adenotonsillectomy following sevoflurane-based anesthesia. ⋯ KETODEX reduces the incidence and severity of EA in children undergoing adenotonsillectomy following sevoflurane-based anesthesia and provided smooth extubation.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2015
Randomized Controlled TrialImproving postoperative tonsillectomy pain management in children--a double blinded randomised control trial of a patient analgesia information sheet.
To evaluate paediatric post-tonsillectomy pain management using oxycodone when a specific analgesia information sheet is included with standard postoperative information. ⋯ Information sheets are useful in education and use of postoperative analgesia. The primary objective to explore the efficacy of the information sheet has proved to be successful in this setting. Given risks of opioid analgesia, it is recommended that postoperative information sheets be given to all parents, to provide for improved analgesia control and safe management of children in the postoperative period.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2015
Outcomes after adenotonsillectomy using a fixed anesthesia protocol in children with obstructive sleep apnea.
To document the effects of a fixed anesthesia protocol on peri-operative events in children undergoing adenotonsillectomy for obstructive sleep apnea (OSA). ⋯ Emergence from anesthesia after adenotonsillectomy may be positively influenced by an anesthetic technique titrated according to the severity of OSA. Adverse respiratory events due to the severity of sleep apnea and attendant hypoxemia may be minimized and outcomes improved with similarly tailored protocols.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2015
Using a new otologic operating microscope: unexpected complications.
The present work report cases of auricular burns after routine otologic surgery possibly induced by the operating microscope. Single-center retrospective study. April 2013 to January 2014, eight children presented with auricular burns after otologic surgery. ⋯ No patient had chondritis nor cartilage loss. There was no possibility of physical or electrical trauma in the pretragal or retroauricular cutaneous area during the operations. Therefore, the only remaining hypothesis to explain these burns was thermal damage induced by the operative microscope.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2015
Case ReportsAcute chest syndrome following adenotonsillectomy in a pediatric patient with Hemoglobin SC disease.
Hemoglobinopathies involving Hemoglobin S, like Hemoglobin SC disease, are characterized by anemia and vaso-occlusive crises. Vaso-occlusive crises can range in severity from localized pain to acute chest syndrome and myocardial infarction. These crises are usually brought on by stressors that induce hypothermia, hypoxia or acidosis, such as surgery [1]. Here we report a case of acute chest syndrome in a child with Hemoglobin SC disease following adenotonsillectomy and review of the literature regarding acute chest syndrome following adenotonsillectomy.