Thursday, February 5th, 2015 at 12:16 PM
Findings 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
Wednesday, August 3rd, 2011 at 9:47 PM
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
Tuesday, August 3rd, 2010 at 2:29 PM
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