Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T06:11:57.139Z Has data issue: false hasContentIssue false
  • English
  • Français

To proceed or not to proceed: ENT surgery in paediatric patients with acute upper respiratory tract infection

Published online by Cambridge University Press:  25 July 2016

S Shemesh ,
S Tamir ,
A Goldfarb ,
T Ezri  and
Y Roth
S Shemesh*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
S Tamir
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
A Goldfarb
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
T Ezri
Affiliation:
Department of Anaesthesiology, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel Outcomes Research Consortium, Cleveland, Ohio, USA
Y Roth
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, Tel Aviv University Sackler School of Medicine, Holon, Israel
*
Address for correspondence: Dr Shay Shemesh, Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, PO Box 5, 58100 Holon, Israel Fax: +972 3 5028199 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Upper respiratory tract infection is the most common non-preventable cause of surgery cancellation. Consequently, surgeons and anaesthesiologists involved in elective ENT surgical procedures frequently face a dilemma of whether to proceed or to postpone surgery in affected children.

Methods:

A literature review was conducted and a practical assessment algorithm proposed.

Conclusion:

The risk–benefit assessment should take into consideration the impact of postponing the surgery intended to bring relief to the child and the risks of proceeding with general anaesthesia in an inflamed airway. The suggested algorithm for assessment may be a useful tool to support the decision of whether to proceed or to postpone surgery.

Keywords

AnesthesiaSurgeryOtorhinolaryngologyUpper Respiratory Tract Infections
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 9 , September 2016 , pp. 800 - 804
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Bathla, S, Mohta, A, Gupta, A, Kamal, G. Cancellation of elective cases in pediatric surgery: an audit. J Indian Assoc Pediatr Surg 2010;15:90–2CrossRefGoogle ScholarPubMed
2 Tait, AR, Malviya, S, Voepel-Lewis, T, Munro, HM, Seiwert, M, Pandit, UA. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology 2001;95:299–306 CrossRefGoogle ScholarPubMed
3 Tait, AR, Malviya, S. Anesthesia for the child with an upper respiratory tract infection: still a dilemma? Anesth Analg 2005;100:59–65 CrossRefGoogle ScholarPubMed
4 Monto, AS, Ullman, BM. Acute respiratory illness in an American community. The Tecumseh study. JAMA 1974;227:164–9CrossRefGoogle Scholar
5 Parnis, SJ, Barker, DS, Van Der Walt, JH. Clinical predictors of anaesthetic complications in children with respiratory tract infections. Paediatr Anaesth 2001;11:29–40 CrossRefGoogle ScholarPubMed
6 Bösenberg, AT. The child with a runny nose! Upper respiratory tract infection in children: impact on anaesthesia. South Afr J Anaesth Analg 2007;13:33–5CrossRefGoogle Scholar
7 Cohen, MM, Cameron, CB. Should you cancel the operation when a child has an upper respiratory tract infection? Anesth Analg 1991;72:282–8CrossRefGoogle Scholar
8 Schreiner, MS, O'Hara, I, Markakis, DA, Politis, GD. Do children who experience laryngospasm have an increased risk of upper respiratory tract infection? Anesthesiology 1996;85:475–80CrossRefGoogle ScholarPubMed
9 DeSoto, H, Patel, RI, Soliman, IE, Hannallah, RS. Changes in oxygen saturation following general anesthesia in children with upper respiratory infection signs and symptoms undergoing otolaryngological procedures. Anesthesiology 1988;68:276–9CrossRefGoogle ScholarPubMed
10 Kim, SY, Kim, JM, Lee, JH, Kang, YR, Jeong, SH, Koo, BN. Perioperative respiratory adverse events in children with active upper respiratory tract infection who received general anesthesia through an orotracheal tube and inhalation agents. Korean J Anesthesiol 2013;65:136–41CrossRefGoogle ScholarPubMed
11 Rolf, N, Coté, CJ. Frequency and severity of desaturation events during general anesthesia in children with and without upper respiratory infections. J Clin Anesth 1992;4:200–3CrossRefGoogle ScholarPubMed
12 Tait, AR, Pandit, UA, Voepel-Lewis, T, Munro, HM, Malviya, S. Use of the laryngeal mask airway in children with upper respiratory tract infections: a comparison with endotracheal intubation. Anesth Analg 1998;86:706–11CrossRefGoogle ScholarPubMed
13 von Ungern-Sternberg, BS, Boda, K, Schwab, C, Sims, C, Johnson, C, Habre, W. Laryngeal mask airway is associated with an increased incidence of adverse respiratory events in children with recent upper respiratory tract infections. Anesthesiology 2007;107:714–19CrossRefGoogle ScholarPubMed
14 von Ungern-Sternberg, BS, Habre, W, Erb, TO, Heaney, M. Salbutamol premedication in children with a recent respiratory tract infection. Paediatr Anaesth 2009;19:1064–9CrossRefGoogle ScholarPubMed
15 Davis, PJ, Cladis, FP, Motoyama, EK. Smith's Anesthesia for Infants and Children, 8th edn. St Louis: Mosby, 2011;xix, 1356Google Scholar
16 Becke, K. Anesthesia in children with a cold. Curr Opin Anaesthesiol 2012;25:333–9CrossRefGoogle ScholarPubMed
17 Oberer, C, von Ungern-Sternberg, BS, Frei, FJ, Erb, TO. Respiratory reflex responses of the larynx differ between sevoflurane and propofol in pediatric patients. Anesthesiology 2005;103:1142–8CrossRefGoogle ScholarPubMed