Journal
JOURNAL OF LARYNGOLOGY AND OTOLOGY
Volume 125, Issue 10, Pages 1049-1052Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0022215111001435
Keywords
Post Operative Nausea And Vomiting; Tonsillectomy; Child
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Objective: To audit a protocol for elective, day-case, paediatric ENT surgery, previously reported as enabling an overall post-operative nausea and vomiting rate of 2 per cent and a discharge rate of 100 per cent on the day of surgery. Method: The audit included 91 children (45 boys and 46 girls) aged three to 14 years. Forty-seven children underwent tonsillectomy, 36 adenotonsillectomy and eight tonsillectomy with postnasal space examination; indications included recurrent tonsillitis, tonsillitis and nasal block, upper airway obstruction, and a combination of upper airway obstruction and recurrent tonsillitis. Results: No post-operative nausea or vomiting was recorded in any of the children on the day of surgery, and no discharges were delayed. The reactionary haemorrhage rate was 1 per cent and the secondary haemorrhage rate 3.3 per cent. Conclusion: These findings have implications for the safe same-day discharge of children following tonsillectomy.
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