Walker P, Whitehead B, Rowley M
Otolaryngology Department, John Hunter Children's Hospital, New Lambton, Australia.
J Laryngol Otol. 2013 Jan;127 Suppl 1:S26-9. doi: 10.1017/S0022215112001739. Epub 2012 Sep 4.
This study aimed to critically review our criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for obstructive sleep apnoea.
We reviewed 122 children electively admitted between 1997 and 2011. During this time, our criteria for admission evolved.
In these 122 children, the respiratory disturbance index during rapid eye movement sleep ranged from 6 to 159 (mean, 83). Forty-one per cent of the children had a recognised co-morbidity. Nine children required extra intervention, i.e. in addition to re-positioning and/or supplemental oxygen. One child was an unplanned re-admission after discharge from the paediatric intensive care unit. Over the same period, five children required unplanned transfers into the paediatric intensive care unit following adenotonsillectomy for sleep-disordered breathing.
Based upon these results, we describe our current criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for severe obstructive sleep apnoea.
本研究旨在严格审查我们对于因阻塞性睡眠呼吸暂停行腺样体扁桃体切除术后择期入住儿科重症监护病房的标准。
我们回顾了1997年至2011年间择期入院的122名儿童。在此期间，我们的入院标准有所演变。
在这122名儿童中，快速眼动睡眠期呼吸紊乱指数为6至159（平均83）。41%的儿童有已确认的合并症。9名儿童需要额外干预，即除了重新摆放体位和/或补充氧气之外。1名儿童是从儿科重症监护病房出院后非计划再次入院。同期，5名儿童因睡眠呼吸障碍行腺样体扁桃体切除术后需要非计划转入儿科重症监护病房。
基于这些结果，我们描述了目前对于因严重阻塞性睡眠呼吸暂停行腺样体扁桃体切除术后择期入住儿科重症监护病房的标准。
