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Ambulatory pediatric adenotonsillectomy.
Can J Anaesth
December 2024
Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.
Purpose: This Continuing Professional Development module aims to help the general anesthesiologist recognize common pitfalls in ambulatory pediatric adenotonsillectomy and perform appropriate risk stratification, analgesic management, and disposition planning.
Principal Findings: Pediatric adenotonsillectomy is a widely performed procedure. An updated approach to preoperative risk assessment of commonly associated comorbidities allows the practitioner to anticipate and plan for adverse events.
Asthma and sleep disordered breathing in the pediatric adenotonsillectomy trial for snoring study.
Sleep Breath
December 2024
Division of Pediatric Pulmonology and Sleep Medicine, UH Rainbow Babies and Children's Hospital, Case Western Reserve University, 11100 Euclid Ave, Pediatric Pulmonology, MS 6006, Cleveland, OH, 44106, USA.
Article Synopsis
- The study investigates the link between asthma and sleep-disordered breathing (SDB) in children aged 3-12.9 years, focusing on identifying risk factors and assessing sleep-related outcomes.
- Results show that 19.1% of the children had asthma, with moderate-to-severe asthma linked to worse SDB symptoms and lower quality of life.
- Key risk factors for asthma included exposure to environmental tobacco smoke and signs of atopy, highlighting the complex relationship between asthma severity and sleep disturbances in children.
Vitamin D Deficiency and Pediatric Obstructive Sleep Apnea Severity.
JAMA Otolaryngol Head Neck Surg
October 2024
Department of Otolaryngology, Eastern Virginia Medical School, Norfolk, Virginia.
Importance: Prior research has demonstrated an association between vitamin D deficiency and obstructive sleep apnea (OSA) in adults; however, its association with pediatric OSA is emerging.
Objective: To evaluate the association of vitamin D levels with obstructive Apnea-Hypopnea Index (AHI) in children with OSA.
Design, Settings, And Participants: This was a cross-sectional study of children aged 2 to 16 years with severe obstructive OSA (AHI ≥20 on polysomnogram) who were undergoing adenotonsillectomy at a tertiary care pediatric otolaryngology clinic from 2017 to 2022.
Persistent Obstructive Sleep Apnea Post-adenotonsillectomy in Children.
Cureus
July 2024
Pediatric Pulmonology, Sidra Medicine, Doha, QAT.
Article Synopsis
- Childhood obstructive sleep apnea (OSA) is commonly caused by enlarged tonsils and adenoids, and adenotonsillectomy is the primary treatment, but some children may experience persistent OSA (POSA) afterward.
- This study examined the prevalence and risk factors of POSA in pediatric patients in Qatar by reviewing medical records of those who underwent adenotonsillectomy between 2017 and 2022.
- Out of 410 patients, 15.4% developed POSA after surgery, with significant risk factors identified including younger age, asthma, allergic rhinitis, gastroesophageal reflux disease, and genetic syndromes.
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