Respiratory Complications of Adenotonsillectomy for Obstructive Sleep Apnea in the Pediatric Population
المؤلفون المشاركون
Romero Moreno, Luis Felipe
Marrugo Pardo, G.
Beltrán Erazo, P.
Villalobos Aguirre, C.
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-01
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
To determine the prevalence of respiratory complications in the early postoperative period of children with sleep apnea who required adenotonsillectomy at a tertiary pediatric hospital and to establish recommendations for postoperative monitoring.
Methods.
Retrospective cohort study of children with obstructive sleep apnea (OSA) diagnosed by polysomnogram (PSG), who underwent adenotonsillectomy for treatment of OSA.
The prevalence of respiratory complications in the first 24 postoperative hours was measured.
Patients with craniofacial malformations, obesity, and severe cardiovascular comorbidities were excluded.
The prevalence of postoperative respiratory complications was compared with the severity of OSA according to the Apnea Hypopnea Index (AHI) and NADIR.
All data were taken in patients residing in Bogotá city, Colombia, at 2.640 meters above sea level (m.a.s.l).
Results.
Between May 2014 and February 2017, 167 patients (108 males) required adenotonsillectomy for OSA, with an age range of 1 and 15 years (mean 5.3 years +/- 2.7).
The prevalence of postoperative respiratory complications was 3.59% (6/167).
There was a statistically significant relationship between the presence of respiratory complication and AHI greater than 44/h (p <0.04).
There was an inverse correlation between the AHI and NADIR values.
Risk groups of patients younger than 3 years and NADIR less than 70% had a higher prevalence of respiratory complications; however, this correlation was not statistically significant (p <0.08 and 0.89, respectively).
Conclusions.
The prevalence of respiratory complications in OSA patients undergoing adenotonsillectomy in high altitudes is similar to that reported in other heights.
Preoperative AHI greater than 44/h could be considered a risk factor for early respiratory complication.
We suggest ambulatory management after 6 hours in Postanesthetic Care Unit (PACU) observation in patients older than 3 years, with AHI less than 44/h and NADIR greater than 70% in altitudes higher than 2.500 m.a.s.l.
Further research must be done to confirm this hypothesis.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Marrugo Pardo, G.& Romero Moreno, Luis Felipe& Beltrán Erazo, P.& Villalobos Aguirre, C.. 2018. Respiratory Complications of Adenotonsillectomy for Obstructive Sleep Apnea in the Pediatric Population. Sleep Disorders،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1214599
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Marrugo Pardo, G.…[et al.]. Respiratory Complications of Adenotonsillectomy for Obstructive Sleep Apnea in the Pediatric Population. Sleep Disorders No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1214599
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Marrugo Pardo, G.& Romero Moreno, Luis Felipe& Beltrán Erazo, P.& Villalobos Aguirre, C.. Respiratory Complications of Adenotonsillectomy for Obstructive Sleep Apnea in the Pediatric Population. Sleep Disorders. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1214599
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1214599
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر