The effect of polysomnography on pediatric adenotonsillectomy postoperative management

Impacts of disease severity on postoperative complications in children with sleep‐disordered breathing

“…Several pertinent studies have elaborated on postoperative complications in children with SDB . However, previous studies have compared differences in postoperative complications between children with and without OSA, without considering the effects of disease severity because of a limited sample size . By contrast, this large, hospital‐based study was the first to identify disparities in complications among children with primary snoring, mild OSA, and moderate‐to‐severe OSA.…”

“…De Luca Canto et al conducted a meta‐analysis and reported that the incidence of respiratory complication is as high as 9.4%. However, considerable disparities exist in the incidence of respiratory complications and the method of defining it . This study adopted different definitions of respiratory complications and classified the complications into perioperative and major respiratory complications.…”

“…Current studies have continually reported that OSA significantly increases postoperative respiratory complications in children . Therefore, the American Academy of Otolaryngology–Head and Neck Surgery Foundation established clinical practice guidelines and recommends that clinicians should admit children with severe OSA following tonsillectomy .…”

“…23,[38][39][40][41][42][43][44][45][46][47][48][49][50][51] However, previous studies have compared differences in postoperative complications between children with and without OSA, without considering the effects of disease severity because of a limited sample size. [38][39][40][41][42][43][44][45][46][47][48][49][50][51] By contrast, this large, hospital-based study was the first to identify disparities in complications among children with primary snoring, mild OSA, and moderate-to-severe OSA. The present analytical results reveal that severe OSA increases perioperative respiratory complications, without increasing risks of major respiratory or bleeding complications.…”

“…However, considerable disparities exist in the incidence of respiratory complications and the method of defining it. [38][39][40][41][42][43][44][45][46][47][48][49][50] This study adopted different definitions of respiratory complications and classified the complications into perioperative and major respiratory complications. Perioperative respiratory complications are defined as oxygen saturation of less than 90%, 92%, or 95% in the recovery room, [38][39][40] and major respiratory complications include laryngospasm, bronchospasm, pulmonary edema, pneumonia, or endotracheal tube intubation at recovery stage.…”