Daycare tonsillectomy and/or adenoidectomy at the British Columbia Children's Hospital.
The fact that tonsillectomy (T), or tonsillectomy with adenoidectomy (T & A) or adenoidectomy (A) can be performed safely in selected children on a daycare or outpatient basis is well proven. This article illustrates the approach that the British Columbia Children's Hospital (B.C.C.H.) took to confirm that the procedures were safe locally. A pilot project was started in June of 1984 to perform daycare adenoidectomies only, using two full-time pediatric otolaryngologists. When this proved successful, other otolaryngologists were encouraged to use the program. In June of 1988, a second pilot project was started for daycare tonsillectomies (or tonsillectomy and adenoidectomy). Criteria were established for patient selection, preparation, anesthesia, post-anesthetic recovery (PAR), Daycare Unit (DCU) nursing, and discharge. Follow-up information was obtained. Daycare tonsillectomy with or without adenoidectomy and daycare adenoidectomy are now routine procedures at B.C.C.H.
Riding
K
K
Department of Surgery, University of British Columbia, Vancouver, Canada.
Laird
B
B
O'Connor
G
G
Goodell
A S
AS
Bitts
B
B
Salkeld
L
L
D000233:Adenoidectomy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D001955:British Columbia; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011183:Postoperative Complications / Q000209:etiology; D014068:Tonsillectomy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data