Obstructive Sleep Apnea
Conditions
Brief summary
Sleep apnea has become exceedingly recognized in children. The primary treatment for sleep apnea in children is surgery in the form of adenotonsillectomy. The majority of children that undergo adenotonsillectomy are discharged following their immediate recovery in the post anesthesia care unit.
Detailed description
Based on national and international consensus statements, institutional practice has developed at Texas Children's Hospital as to which patients require overnight observation following adenotonsillectomy for continuous pulse oximeter monitoring to assess for desaturation events. There is insufficient evidence to suggest which patients need to stay for pulse oximeter monitoring which has led to many patients being admitted unnecessarily. Therefore, the aim of this study is to capture data prospectively on pulse oximetry in children admitted overnight following adenotonsillectomy to identify risk factors for post operative oxygen desaturation.
Interventions
DIAGNOSTIC_TESTContinuous Pulse Oximetry
The patient will wear a continuous pulse oximeter after their adenotonsillectomy surgery until the following morning. This will record continuous pulse oximetry data to allow for analysis of any desaturations in the first night following the surgery. This study is observational only and this data will not be used to impact any treatment
Sponsors
Baylor College of Medicine
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adenotonsillectomy surgery * Patient meeting institutional guidelines for postoperative admission (e.g, admitted following surgery from recovery room).
Exclusion criteria
* Parental refusal * Airway Surgery in addition to adenotonsillectomy * Patient psychological limitations, precluding wearing device (e.g. autism). * Patient not meeting institutional guidelines for postoperative admission (e.g, discharged following surgery from recovery room).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Continuous pulse oximetry following adenotonsillectomy | 1 day | Use of a continuous capture pulse oximeter to identify oxygen desaturations postoperatively |
Countries
United States
Outcome results
None listed