Perioperative management of sickle cell disease children undergoing adenotonsillectomy.
OBJECTIVE
To determine if outpatient tailored perioperative management has the same complication rate as that previously published for sickle cell disease (SCD) children who undergo adenotonsillectomy.


METHODS
Retrospective chart review of SCD children who underwent tonsillectomy with outcome measures of perioperative management and postsurgical complications.


RESULTS
Of 41 patients, 61% were monitored for <24 hours with the average length of stay being 2 days (range, 1 to 10). Postoperative complications were noted in 9 (22%) patients, including 8 (20%) with hypoxia, 4 (10%) fever, 3 (8%) acute chest syndrome, and 1 (2.4%) airway fire, which are similar to the published literature.


CONCLUSIONS
Current literature supports extensive perioperative management with hospital stays averaging 3 to 5 days. These data demonstrate that the majority of these patients can be managed with <24-hour hospitalization stays with similar complication rates as previously described in the literature.


CONCLUSIONS
This study establishes a new paradigm for perioperative management of SCD children who undergo adenotonsillectomy.


METHODS
C-4.
Duke
Rebecca L
RL
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA. rduke@mcw.edu
Scott
J Paul
JP
Panepinto
Julie A
JA
Flanary
Valerie A
VA
D000233:Adenoidectomy / Q000009:adverse effects; D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D000755:Anemia, Sickle Cell / Q000150:complications*; D001803:Blood Transfusion / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005334:Fever / Q000209:etiology; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D007902:Length of Stay; D008171:Lung Diseases / Q000209:etiology; D019990:Perioperative Care; D011183:Postoperative Complications; D012189:Retrospective Studies; D013577:Syndrome; D014068:Tonsillectomy / Q000009:adverse effects; D016896:Treatment Outcome