[German S1 guideline: obstructive sleep apnea in the context of tonsil surgery with or without adenoidectomy in children-perioperative management].
Gregor BadeltC GoetersK Becke-JakobT DeitmerC EichC HöhneB A StuckA WiaterPublished in: HNO (2020)
Otolaryngologic surgery is one of the most frequent operative interventions performed in children. Tonsil surgery with or without adenoidectomy due to hyperplasia of the tonsils and adenoids with obstruction of the upper airways with or without tympanic ventilation disorder is the most common of these procedures. Children with a history of sleep apnoea (OSA) suffer from a significantly increased risk of perioperative respiratory complications. Cases of death and severe permanent neurologic damage have been reported due to apnoea and increased opioid sensitivity. The current guideline represents a pragmatic risk-adjusted approach. Patients with confirmed or suspected OSA should be treated perioperatively according to their individual risks and requirements, in order to avoid severe permanent damage.
Keyphrases
- obstructive sleep apnea
- positive airway pressure
- minimally invasive
- coronary artery bypass
- young adults
- cardiac surgery
- physical activity
- patients undergoing
- surgical site infection
- oxidative stress
- early onset
- chronic pain
- sleep apnea
- clinical trial
- pain management
- acute coronary syndrome
- risk assessment
- newly diagnosed