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Paediatric day-case tonsillectomy: a three-year prospective audit spiral in a district hospital

Published online by Cambridge University Press:  18 October 2011

Y Bajaj ,
H Atkinson ,
R Sagoo ,
I Bhatti  and
C Newbegin
Y Bajaj*
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
H Atkinson
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
R Sagoo
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
I Bhatti
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
C Newbegin
Affiliation:
Huddersfield Royal Infirmary, Hull Royal Infirmary, UK
*
Address for correspondence: Mr Y Bajaj, 2 Tall Trees, Leeds LS17 7WA, UK E-mail: [email protected]
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Abstract

Background:

Paediatric tonsillectomy is a common ENT operation. The use of day-case surgery is increasing, in order to improve efficiency in healthcare.

Methods:

A prospective audit spiral was carried out from January 2006 to December 2008 for all children undergoing day-case tonsillectomy at Huddersfield Royal Infirmary.

Results:

There was a haemorrhage rate of 2.6 per cent over three years. The most common complication was nausea and vomiting, seen in 5.3 per cent of patients.

Conclusions:

For a well selected group of children, day-case tonsillectomy in a district hospital setting is a safe and efficient alternative to an in-patient stay. A dedicated day-case team, good anaesthetic technique, adequate post-operative analgesia and on-site paediatric in-patient facilities are essential.

Keywords

Tonsillectomy, ChildDay CarePaediatrics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 159 - 162
Copyright
Copyright © JLO (1984) Limited 2011

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Footnotes

Presented at the European Society of Paediatric Otolaryngology meeting, 6 October 2010, Pamplona, Greece

References

1The Audit Commission for England and Wales. A Short Cut to Better Services: Day Surgery in England and Wales. London: HMSO, 1990Google Scholar
2Tewary, AK. Day-case tonsillectomy: a review of the literature. J Laryngol Otol 1993;107:703–5CrossRefGoogle ScholarPubMed
3Lannigan, FJ, Martin-Hirsch, DP, Basey, E. Clinical audit: is day-case adenotonsillectomy safe? Br J Clin Practice 1993;47:254–5Google ScholarPubMed
4Tewary, AK, Curry, AR. Same-day tonsillectomy. J Laryngol Otol 1993;107:706–8CrossRefGoogle ScholarPubMed
5Moralee, SJ, Murray, JA. Would day-case adult tonsillectomy be safe? J Laryngol Otol 1995;109:1166–7CrossRefGoogle ScholarPubMed
6Royal College of Surgeons of England's Commission on the Provision of Surgical Services. Guidelines for Day Case Surgery. London: Royal College of Surgeons of England, 1985Google Scholar
7Shah, C, Shahab, R, Robb, P, Roy, D. Role of a home care team in paediatric day-case tonsillectomy. J Laryngol Otol 2001;115:39–43CrossRefGoogle ScholarPubMed
8Mills, N, Anderson, BJ, Barber, C, White, J, Mahadevan, M, Salkeld, L et al. Day stay pediatric tonsillectomy–a safe procedure. Int J Pediatr Otorhinolaryngol 2004;68:1367–73CrossRefGoogle ScholarPubMed
9Granell, J, Gete, P, Villafruela, M, Bolanos, C, Vicent, JJ. Safety of outpatient tonsillectomy in children: a review of 6 years in a tertiary hospital experience. Otolaryngol Head Neck Surg 2004;131:383–7CrossRefGoogle Scholar
10Hellier, WPL, Knight, J, Hern, J, Waddell, T. Day case paediatric tonsillectomy: a review of three years experience in a dedicated day case unit. Clin Otolaryngol 1999;24:208–12CrossRefGoogle Scholar
11Kendrick, D, Gibbin, K. An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy. Clin Otolaryngol 1993;18:115–17CrossRefGoogle ScholarPubMed
12Royal College of Surgeons of England. National Prospective Tonsillectomy Audit. London: Royal College of Surgeons of England, 2005Google Scholar
13Kanerva, M, Tarkkila, P, Pitkaranta, A. Day-case tonsillectomy in children: parental attitudes and consultation rates. Int J Pediatr Otorhinolaryngol 2003;67:777–84CrossRefGoogle ScholarPubMed
14Church, JJ. Day case tonsillectomy in children. Ambul Surg 1999;7:17–19CrossRefGoogle Scholar
15Pezier, T, Stimpson, P, Kanegaonkar, RG, Bowdler, DA. Ear, nose and throat day-case surgery at a district general hospital. Ann R Coll Surg Engl 2009;91:147–51CrossRefGoogle Scholar
16Postma, DS, Folsom, F. The case for an outpatient “approach” for all pediatric tonsillectomies and/or adenoidectomies: a 4-year review of 1419 cases at a community hospital. Otolaryngol Head Neck Surg 2002;127:101–8CrossRefGoogle ScholarPubMed
17Bhattacharya, N. Ambulatory pediatric otolaryngologic procedures in the United States: characteristics and perioperative safety. Laryngoscope 2010;120:821–5CrossRefGoogle Scholar
18Statham, MM, Elluru, RG, Buncher, R, Kalra, M. Adenotonsillectomy for obstructive sleep apnoea syndrome in young children. Acta Otolaryngol Head Neck Surg 2006;132:476–80Google ScholarPubMed
19Jones, DT, Yoon, MJ, Licameli, G. Effectiveness of postoperative follow up telephone interviews for patients who underwent adenotonsillectomy. Arch Otol Head Neck Surg 2007;133:1091–5CrossRefGoogle ScholarPubMed
20Brigger, MT, Brietzke, SE. Outpatient tonsillectomy in children: a systematic review. Otolaryngol Head Neck Surg 2006;135:1–7CrossRefGoogle ScholarPubMed
21Panarese, A, Clarke, RW, Yardley, MP. Early post-operative morbidity following tonsillectomy in children: implications for day surgery. J Laryngol Otol 1999;113:1089–91CrossRefGoogle ScholarPubMed
22Cardwell, M, Siviter, G, Smith, A. Non-steroidal anti-inflammatory drugs and perioperative bleeding in paediatric tonsillectomy. Cochrane Database Syst Rev 2005;(2):CD003591CrossRefGoogle ScholarPubMed
23Lalakea, ML, Marquez-Biggs, I, Messner, AH. Safety of pediatric short stay tonsillectomy. Acta Otolaryngol Head Neck Surg 1999;125:749–52Google ScholarPubMed