Complication Rates with BiZact Tonsillectomy
Authors List
Barber, Lucy, Starship Children’s Hospital, Auckland, New Zealand
Rankin, Alina, Auckland City Hospital, Auckland, New Zealand
Johnston, James, Auckland City Hospital, Auckland, New Zealand
Mahadevan, Murali, Starship Children’s Hospital, Auckland, New Zealand
Objectives: Supraglottoplasty is a commonly performed operation in children with severe laryngomalacia. Yet there is little in the literature about the standard of post-operative care for these patients. The aim of this retrospective cohort study was to determine if the level of hospital care required following surgery could be predicted based on surgical indication.
Methods: Extraction of hospital morbidity records belonging to patients who underwent one or more supraglottoplasty procedures between January 1, 2010 and June 2020 at a tertiary care children’s hospital was performed. Demographic, diagnostic, and procedural data were included in the analysis. Post-operative care plan data, oxygen requirement, need for reintubation or positive pressure ventilation, unplanned admissions to PICU and length of PICU stay were all included in the analysis. Patients were divided into two groups based on surgical indication (stridor alone/failure to thrive/swallowing dysfunction, or desaturations on oximetry)
Results: There were 166 patients identified and 39 excluded, resulting in 127 for analysis. 75% patients in the stridor only/failure to thrive/swallowing dysfunction group were admitted to the ward post-operatively and the remainder to PICU. One patient in this group required an intervention, (high flow oxygen), that was not available on the ward. There was one unplanned admission to PICU and one return to PICU. Neither of these patients required a post-operative intervention in PICU. 57% patients in the desaturation on oximetry group were admitted to the ward post-operatively and the remainder to PICU Within this group, one patient remained intubated following the procedure and one patient was re-intubated in PACU. Two patients required CPAP or high flow oxygen.
Conclusion: This study suggests that patients without significant medical comorbidities undergoing supraglottoplasty for stridor only/failure to thrive/swallowing dysfunction can be managed safely on the ward post operatively. A prospective study needs to be completed to determine the validity of these findings.
Barber, Lucy, Starship Children’s Hospital, Auckland, New Zealand
Rankin, Alina, Auckland City Hospital, Auckland, New Zealand
Johnston, James, Auckland City Hospital, Auckland, New Zealand
Mahadevan, Murali, Starship Children’s Hospital, Auckland, New Zealand
Objectives: Supraglottoplasty is a commonly performed operation in children with severe laryngomalacia. Yet there is little in the literature about the standard of post-operative care for these patients. The aim of this retrospective cohort study was to determine if the level of hospital care required following surgery could be predicted based on surgical indication.
Methods: Extraction of hospital morbidity records belonging to patients who underwent one or more supraglottoplasty procedures between January 1, 2010 and June 2020 at a tertiary care children’s hospital was performed. Demographic, diagnostic, and procedural data were included in the analysis. Post-operative care plan data, oxygen requirement, need for reintubation or positive pressure ventilation, unplanned admissions to PICU and length of PICU stay were all included in the analysis. Patients were divided into two groups based on surgical indication (stridor alone/failure to thrive/swallowing dysfunction, or desaturations on oximetry)
Results: There were 166 patients identified and 39 excluded, resulting in 127 for analysis. 75% patients in the stridor only/failure to thrive/swallowing dysfunction group were admitted to the ward post-operatively and the remainder to PICU. One patient in this group required an intervention, (high flow oxygen), that was not available on the ward. There was one unplanned admission to PICU and one return to PICU. Neither of these patients required a post-operative intervention in PICU. 57% patients in the desaturation on oximetry group were admitted to the ward post-operatively and the remainder to PICU Within this group, one patient remained intubated following the procedure and one patient was re-intubated in PACU. Two patients required CPAP or high flow oxygen.
Conclusion: This study suggests that patients without significant medical comorbidities undergoing supraglottoplasty for stridor only/failure to thrive/swallowing dysfunction can be managed safely on the ward post operatively. A prospective study needs to be completed to determine the validity of these findings.
