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Summary of the Day

Pediatric Tracheal Extubation

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Question of the Day

Which of the following children scheduled to undergo adenotonsillectomy in an ambulatory surgery center is at LOWEST risk for a postoperative respiratory event?

Question of the Day
Which of the following children scheduled to undergo adenotonsillectomy in an ambulatory surgery center is at LOWEST risk for a postoperative respiratory event?
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Explanation

Guidelines may be helpful in identifying children who are at highest risk for postoperative respiratory events following adenotonsillectomy. While adenotonsillectomy is most frequently performed as an outpatient procedure, certain patients are at higher risk postoperatively and are more likely to require overnight observation. It is important to identify these patients preoperatively not only to enhance patient safety, but also to minimize costs and improve efficiency. Risk factors which have been identified as placing children at higher risk for postoperative respiratory events include: age younger than 2 years, apnea-hypopnea index greater than 10, body mass index greater than 95th percentile for age, history of craniofacial syndromes (i.e., Down’s syndrome) and comorbid conditions (i.e., moderate to severe asthma, congenital heart disease).

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