title: Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing.
abstract: OBJECTIVE
  Although first line therapy of sleep-disordered breathing (SDB) in children is adeno-tonsillectomy, the indications for this operation have not yet been clearly established. We investigated whether pulse-oximetry is useful for determining the optional treatment modality for pediatric SDB.
  
  
  METHODS
  Two hundred and thirty-two children presenting with snoring and gasping had their oxygen saturation levels examined during sleep. Among them, 86 underwent on adeno-tonsillectomy and were evaluated pre- and post-surgery. We also examined 25 healthy children as controls.
  
  
  RESULTS
  Little desaturation was observed in healthy children. The difference in oxygen saturation levels of the patients between pre- and post-surgery was closely correlated with the pre-surgery levels. We examined the reaction operation characteristics and concluded that children with an oxygen desaturation index of 4% or more (ODI4) of more than 1.5 and/or ODI3 of more than 3.5 should undergo surgery.
  
  
  CONCLUSIONS
  Pulse-oximetry is useful in determining the indications for adeno-tonsillectomy.
authors.affiliation: Department of Otorhinolaryngology, Keio University School of Medicine, 160-8582, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan. hsaitorl@sc.itc.keio.ac.jp
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Saito
authors.forename: Kouji
authors.initials: K
authors.lastname: Araki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ozawa
authors.forename: Kunio
authors.initials: K
authors.lastname: Mizutari
authors.forename: Kouji
authors.initials: K
authors.lastname: Inagaki
authors.forename: Noboru
authors.initials: N
authors.lastname: Habu
authors.forename: Taku
authors.initials: T
authors.lastname: Yamashita
authors.forename: Ryouichi
authors.initials: R
authors.lastname: Fujii
authors.forename: Soichiro
authors.initials: S
authors.lastname: Miyazaki
authors.forename: Kaoru
authors.initials: K
authors.lastname: Ogawa
mesh_terms: D000233:Adenoidectomy; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010092:Oximetry; D010100:Oxygen / Q000097:blood; D011184:Postoperative Period; D011300:Preoperative Care; D011446:Prospective Studies; D012016:Reference Values; D012891:Sleep Apnea Syndromes / Q000097:blood* / Q000601:surgery*; D014068:Tonsillectomy
chemical_list: D010100:Oxygen