Ibuprofen Safer Than Morphine After Sleep Apnea Surgery

Ibuprofen in TonsillectomyFindings of a recently concluded research study (Motherisk Program at The Hospital for Sick Children (SickKids) and by McMaster University and McMaster Children’s Hospital ) revealed that treating postoperative pain with morphine subsequent to the tonsillectomy surgery which is commonly and effectively used to treat childhood obstructive sleep apnea (OSA) may cause life-threatening respiratory problems in some children.

This study identified a significant risk for potentially fatal breathing disruption when morphine is administered at home after surgery to treat pain in children who undergo tonsillectomy with or without adenoidectomy. Prescribing Ibuprofen instead, after Pediatric Sleep Apnea Surgery would be a better option.

The detailed findings of this research study as published in the January 26 online edition of Pediatrics  also established that ibuprofen is a safe and effective alternative. Read the rest of this entry

A multidisciplinary clinical practice guideline, “Polysomnography for  Sleep-Disordered Breathing Prior to Tonsillectomy in Children“, was  published as a supplement to the July issue of Otolaryngology—Head  and Neck Surgery. This guideline provides otolaryngologists with  evidence-based recommendations for using polysomnography in assessing  children, aged 2 to 18 years, with sleep-disordered breathing (SDB) and  who are candidates for tonsillectomy, with or without adenoidectomy.

Polysomnography (PSG) is presently the gold standard for diagnosing  and quantifying sleep-disordered breathing in children. SDB affects  approximately 12% of children with manifestations ranging from simple  snoring to potentially serious conditions, including sleep apnea. SDB is  also the most common indication for tonsillectomy with or without  adenoidectomy in the United States. Since more than 530,000  tonsillectomies are performed annually on children younger than the age  of 15, primarily for SDB, clear and actionable guidance on optimal use  of PSG is strongly needed. Read the rest of this entry

In a recently completed research study the researchers examined that among children undergoing adenotonsillectomy for obstructive sleep apnea, what are the responsible factors that promote incomplete resolution of obstructive sleep apnea.

In quest to this exploration researchers  attempted to assess the efficacy of surgical removal of the tonsils and adenoids (adenotonsillectomy [AT]) in the treatment of obstructive sleep apnea (OSA) in children, and to delineate factors associated with persistent OSA, a retrospective review of pre- and postsurgery polysomnograms (PSG) through a research study which was conducted at eight facilities in the US and Europe. Read the rest of this entry

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