TYK173

Which one of the following patients are candidates for outpatient adenotonsillectomy in a freestanding surgery center?

a) 2 ½ year old 14 kg otherwise healthy boy with apnea-hypopnea index of 0.8

b) 5 year old 20 kg otherwise healthy girl with suspected mild-moderate obstructive sleep apnea without polysomnography

c) 7 year old 30 kg boy with Down syndrome with an apnea-hypopnea index of 5

d) 4 year old 40 kg otherwise healthy boy with an apnea-hypopnea index of 5

e) 8 year old 35 kg otherwise healthy girl with an apnea-hypopnea index of 11

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Answer

Answer b.

Children with severe obstructive sleep apnea (AHI >10) (E), children younger than 3 years of age (A) and those with significant comorbidity (Down syndrome (C), morbid obesity (D)) should be admitted for observation after tonsillectomy.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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