Update on the safety of anesthesia in young children presenting for adenotonsillectomy

Tonsillectomy with and without adenoidectomy is a frequently performed surgical procedure in children. Although a common procedure, it is not without significant risk. It is critical for anesthesiologists to consider preoperative, intraoperative, and postoperative patient factors and events to optim...

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Autores principales:	Stephanie R. McGuire, Nichole M. Doyle
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2021
Materias:	Anesthesia safety Anesthesia for adenotonsillectomy Anesthesia in young children Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3fb1feb4823d443f88174499b93634ad
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spelling	oai:doaj.org-article:3fb1feb4823d443f88174499b93634ad2021-12-02T14:51:52ZUpdate on the safety of anesthesia in young children presenting for adenotonsillectomy2095-881110.1016/j.wjorl.2021.03.003https://doaj.org/article/3fb1feb4823d443f88174499b93634ad2021-07-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881121000391https://doaj.org/toc/2095-8811Tonsillectomy with and without adenoidectomy is a frequently performed surgical procedure in children. Although a common procedure, it is not without significant risk. It is critical for anesthesiologists to consider preoperative, intraoperative, and postoperative patient factors and events to optimize safety, especially in young children. In the majority of cases, the indication for adenotonsillectomy in young children is obstructive breathing. Preoperative evaluation for patient comorbidities, especially obstructive sleep apnea, risk factors for a difficult airway, and history of recent illness are crucial to prepare the patient for surgery and develop an anesthetic plan. Communication and collaboration with the otolaryngologist is key to prevent and treat intraoperative events such as airway fires or hemorrhage. Postoperative analgesia planning is critical for safe pain control especially for those patients with a history of obstructive sleep apnea and opioid sensitivity. In young children, it is important to also consider the impact of anesthetic medications on the developing brain. This is an area of continuing research but needs to be weighed when planning for surgical treatment and when discussing risks and benefits with patients’ families.Stephanie R. McGuireNichole M. DoyleKeAi Communications Co., Ltd.articleAnesthesia safetyAnesthesia for adenotonsillectomyAnesthesia in young childrenOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 3, Pp 179-185 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anesthesia safety Anesthesia for adenotonsillectomy Anesthesia in young children Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Anesthesia safety Anesthesia for adenotonsillectomy Anesthesia in young children Otorhinolaryngology RF1-547 Surgery RD1-811 Stephanie R. McGuire Nichole M. Doyle Update on the safety of anesthesia in young children presenting for adenotonsillectomy
description	Tonsillectomy with and without adenoidectomy is a frequently performed surgical procedure in children. Although a common procedure, it is not without significant risk. It is critical for anesthesiologists to consider preoperative, intraoperative, and postoperative patient factors and events to optimize safety, especially in young children. In the majority of cases, the indication for adenotonsillectomy in young children is obstructive breathing. Preoperative evaluation for patient comorbidities, especially obstructive sleep apnea, risk factors for a difficult airway, and history of recent illness are crucial to prepare the patient for surgery and develop an anesthetic plan. Communication and collaboration with the otolaryngologist is key to prevent and treat intraoperative events such as airway fires or hemorrhage. Postoperative analgesia planning is critical for safe pain control especially for those patients with a history of obstructive sleep apnea and opioid sensitivity. In young children, it is important to also consider the impact of anesthetic medications on the developing brain. This is an area of continuing research but needs to be weighed when planning for surgical treatment and when discussing risks and benefits with patients’ families.
format	article
author	Stephanie R. McGuire Nichole M. Doyle
author_facet	Stephanie R. McGuire Nichole M. Doyle
author_sort	Stephanie R. McGuire
title	Update on the safety of anesthesia in young children presenting for adenotonsillectomy
title_short	Update on the safety of anesthesia in young children presenting for adenotonsillectomy
title_full	Update on the safety of anesthesia in young children presenting for adenotonsillectomy
title_fullStr	Update on the safety of anesthesia in young children presenting for adenotonsillectomy
title_full_unstemmed	Update on the safety of anesthesia in young children presenting for adenotonsillectomy
title_sort	update on the safety of anesthesia in young children presenting for adenotonsillectomy
publisher	KeAi Communications Co., Ltd.
publishDate	2021
url	https://doaj.org/article/3fb1feb4823d443f88174499b93634ad
work_keys_str_mv	AT stephaniermcguire updateonthesafetyofanesthesiainyoungchildrenpresentingforadenotonsillectomy AT nicholemdoyle updateonthesafetyofanesthesiainyoungchildrenpresentingforadenotonsillectomy
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Update on the safety of anesthesia in young children presenting for adenotonsillectomy

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