TYK69

The American Academy of Pediatrics has recommended inpatient monitoring following tonsillectomy and adenoidectomy for all of the following high-risk patients EXCEPT?

A. Age < 3 years

B. Severe OSA on ploysomnography

C. Cardiac complications of OSA

D. Failure to thrive

E. Obesity

F. Craniofacial anomalies

G. Neuromuscular disorders

H. Respiratory infection less than 6 weeks prior

Answer

The answer is H. Only with an active respiratory infection is this required. The American Academy of Pediatrics clinical practice guidelines recommend adenotonsillectomy (T& A) as the first line treatment of OSA in children even without evidence of adenotonsillar hypertrophy. The AAP guidelines describe risk factors for respiratory complications in children with OSA undergoing T& A and recommend inpatient monitoring following T& A for such high-risk patients.

Notes

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