OBJECTIVE To evaluate the efficacy of preoperative intravenous or peritonsillar infiltration of ketamine for postoperative pain control in children following adenotonsillectomy. PATIENTS AND METHODS 78 children between 5 and 18 years of age who were scheduled for elective adenotonsillectomy were randomly assigned to four groups: group 1 (n = 19) received intravenous ketamine (0.5 mg/kg), grou...

BACKGROUND AND OBJECTIVES Polysomnography defines the pathophysiology of obstructive sleep apnea syndrome (OSAS) but does not predict some important comorbidities or their response to adenotonsillectomy. We assessed whether OSAS symptoms, as reflected on the Sleep-Related Breathing Disorders Scale of the Pediatric Sleep Questionnaire (PSQ), may offer clinical predictive value. METHODS Baselin...

BACKGROUND Adenotonsillectomy is one of the most common surgical procedures in children. Several complications and morbidities are common after nasal surgeries and the most common is pain. Several techniques have been employed to reduce the severity of postoperative pain. One of the preoperative techniques is pre-emptive analgesia through preventive central hypersensitization. This technique is...

performed in children; but the indications remain controversial. The history of these procedures contribute to this situation. In the past the vast majority of these operations were performed in order to cure recurrent infections, which are much less common today due to the advances in antibiotic therapy. Otolaryngologists and pediatricians must reach a consensus for the indications for surgery...

OBJECTIVE To determine the frequency of anaesthetic risks in children having Obstructive Sleep Apnea Syndrome (OSAS), undergoing adenotonsillectomy. STUDY DESIGN A case-control study. PLACE AND DURATION OF STUDY Department of Anaesthesiology, Armed Forces Hospital, Najran, Saudi Arabia from November 2006 to January 2008. METHODOLOGY The study was carried out in 60 children scheduled to un...

BACKGROUND Otitis media is the most common medical problem in young children. The usual surgical treatment is myringotomy with insertion of tympanostomy tubes. There is debate about the usefulness of concomitant adenoidectomy or adenotonsillectomy. We examined the effects of these adjuvant procedures on the rates of reinsertion of tympanostomy tubes and rehospitalization for conditions related ...

OBJECTIVES/HYPOTHESIS To evaluate and describe airway complications in pediatric adenotonsillectomy. STUDY DESIGN Retrospective case-control study. METHODS A chart review of patients that underwent adenotonsillectomy between 2006 and 2010 was performed. Perioperative complications, patient characteristics, and surgeon and anesthesia technique were recorded. RESULTS A total of 682 charts w...

OBJECTIVES: This revised clinical practice guideline, intended for use by primary care clinicians, provides recommendations for the diagnosis and management of the obstructive sleep apnea syndrome (OSAS) in children and adolescents. This practice guideline focuses on uncomplicated childhood OSAS, that is, OSAS associated with adenotonsillar hypertrophy and/or obesity in an otherwise healthy chi...

Background: Adenotonsillectomy (ASTS) is the commonest surgical procedure undertaken in children by otolaryngologists the world over. This operation is associated with various complications the commonest of which include haemorrhage, infection, vomiting and odynophagia. I carried out a prospective study aimed at determining the rate, timing and factors associated with early complications after ...

BACKGROUND Adenotonsillectomy is a common otolaryngology surgery. Nausea and vomiting are the most common complications of this procedure with a prevalence ranging from 49% to 73 %. OBJECTIVES Our aim was to evaluate the effects of short time fasting protocol on decreasing postoperative pain, nausea and vomiting, and initiation of oral feeding after adenotonsillectomy. PATIENTS AND METHODS ...