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Role of paediatric intensive care following adenotonsillectomy for severe obstructive sleep apnoea: criteria for elective admission

Published online by Cambridge University Press:  04 September 2012

P Walker ,
B Whitehead  and
M Rowley
P Walker*
Affiliation:
Otolaryngology Department, John Hunter Children's Hospital, New Lambton, Australia School of Medicine, University of Newcastle, New South Wales, Australia
B Whitehead
Affiliation:
School of Medicine, University of Newcastle, New South Wales, Australia Respiratory Medicine Department, John Hunter Children's Hospital, New Lambton, Australia
M Rowley
Affiliation:
School of Medicine, University of Newcastle, New South Wales, Australia Paediatric Intensive Care Unit, John Hunter Children's Hospital, New Lambton, Australia
*
Address for correspondence: Conjoint Assoc Professor Paul Walker, Paediatric Otolaryngologist, PO Box 293, New Lambton, NSW, Australia2305 Fax: +61 2 49572960 E-mail: walkerp@pg.com.au
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Abstract

Aims:

This study aimed to critically review our criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for obstructive sleep apnoea.

Materials and methods:

We reviewed 122 children electively admitted between 1997 and 2011. During this time, our criteria for admission evolved.

Results:

In these 122 children, the respiratory disturbance index during rapid eye movement sleep ranged from 6 to 159 (mean, 83). Forty-one per cent of the children had a recognised co-morbidity. Nine children required extra intervention, i.e. in addition to re-positioning and/or supplemental oxygen. One child was an unplanned re-admission after discharge from the paediatric intensive care unit. Over the same period, five children required unplanned transfers into the paediatric intensive care unit following adenotonsillectomy for sleep-disordered breathing.

Conclusion:

Based upon these results, we describe our current criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for severe obstructive sleep apnoea.

Keywords

Intensive CarePaediatricTonsillectomyObstructive Sleep Apnea
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Supplement S1 , January 2013 , pp. S26 - S29
Copyright
Copyright © JLO (1984) Limited 2012

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References

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