Selected Risk Factors in Pediatric Adenotonsillectomy

Polysomnographic Variables Predictive of Adverse Respiratory Events After Pediatric Adenotonsillectomy

“…There are studies evaluating the utility of polysomnography (PSG) in predicting outcomes from adenotonsillectomy, 8,9 but these studies do not evaluate the role of PSG in predicting which patients are at risk for adverse outcomes in the immediate postoperative period. There is evidence to suggest that younger patients, 10,11 patients with multiple medical comorbidities, [10][11][12] patients with worse apnea-hypopnea indexes (AHIs), 11,13 and patients with lower nadir oxygen saturations 11,13,14 are at higher risk for respiratory complications. We hypothesized that PSG variables can be used to predict which patients are more likely to have a respiratory complication that will require treatment in the immediate postoperative period.…”

Complications of Microdebrider‐Assisted Powered Intracapsular Tonsillectomy and Adenoidectomy

“…[3][4][5][6] Less common complications include postobstructive respiratory compromise, persistent pain, velopharyngeal insufficiency, psychological trauma, and even death. [3][4][5][6][7][8][9][10][11] The literature describes a variety of tonsillectomy techniques that share the goal of increasing patient tolerance and minimizing complications.…”

Tramadol vs morphine during adenotonsillectomy for obstructive sleep apnea in children

“…Selecting those patients requiring intensive care postoperatively is difficult. Children who are at particular risk of postoperative complications are those who have severe OSA diagnosed on polysomnography, children with associated syndromes or serious medical conditions, obese children and children under the age of 3 (5)(6)(7)(8)(9).…”