Leroyer Hajdi, De Cock Adrien, Fries Sophie, Guinchard Anne-Claude
Service d'ORL et de chirurgie cervico-faciale, Département de chirurgie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Service d'anesthésiologie, Département des centres interdisciplinaires, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Rev Med Suisse. 2023 Oct 4;19(844):1780-1783. doi: 10.53738/REVMED.2023.19.844.1780.
Tonsillotomy or tonsillectomy, with or without adenoidectomy, is one of the most frequently performed procedure in the pediatric population. Obstructive sleep apnea is one of the main indications for these procedures. Respiratory problems following surgery are the most feared surgical complications. The criteria for identifying patients at risk of complications and the level of care required during monitoring remain controversial. This article reviews the literature on risk factors for respiratory complications. Recommendations for postoperative monitoring are proposed.
扁桃体切开术或扁桃体切除术，伴或不伴腺样体切除术，是儿科人群中最常施行的手术之一。阻塞性睡眠呼吸暂停是这些手术的主要适应证之一。术后呼吸问题是最令人担忧的手术并发症。识别有并发症风险的患者的标准以及监测期间所需的护理水平仍存在争议。本文综述了关于呼吸并发症危险因素的文献。并提出了术后监测的建议。
