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Problems of Preoperative Examination before Adenotomy and Tonsillectomy in Children


Authors: Viktor Chrobok 1;  A. Pellant 1;  J. Janouch 2;  P. Komínek 3;  Z. Kabelka 4;  I. Šlapák 5
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku, Pardubická krajská nemocnice, a. s. ;  přednosta prof. MUDr. A. Pellant, DrSc. Fakulta vojenského zdravotnictví, katedra veřejného zdravotnictví, Univerzita obrany Hradec Králové 1;  přednosta prof. MUDr. V. Chrobok, CSc. Fakulta zdravotnických studií UP, katedra ošetřovatelství, Pardubice 1;  přednosta Ing. K. Antoš, Ph. D. Otorinolaryngologická klinika FN, Ostrava 2;  přednosta doc. MUDr. P. Komínek, Ph. D., MBA Klinika ušní, nosní a krční 2. LF UK a FN Motol, Praha 3;  přednosta doc. MUDr. Z. Kabelka Klinika dětské otorinolaryngologie LF MU a FN, Brno 4;  přednosta prof. MUDr. I. Šlapák, CSc. 5
Published in: Otorinolaryngol Foniatr, 58, 2009, No. 4, pp. 232-236.
Category: Original Article

Overview

The authors discuss the problems of present opinions about preoperative examination before adenotomy and tonsillectomy. The points of view of an anesthesiologist, pediatrician and otolaryngologist are demonstrated and possibilities of solution from the medical and legal points of view are outlined.

Key words:
preoperative examination, hemostasis, adenotomy, tonsillectomy.


Sources

1. American Academy of Otolaryngology – Head and Neck Sugery. Clinical indicators compendium. American Academy of Otolaryngology – Head and Neck Surgery Inc. Alexandria, VA, 1999.

2. Asaf, T., Reuveni, H., Yermiahu, T. et al.: The need for routine pre-operative coagulation screening tests (prothrombin time PT /partial thromboplastin time PTT) for healthy children undergoing elective tonsillectomy and/or adenoidectomy. Int. J. Pediatr. Otorhinolaryngol, 61, 2001, s. 217-222.

3. Close, H. L., Kryzer, T. C., Nowlin, J. H. et al.: Hemostatic assesment of patients before tonsillectomy: a prospective study. Otolaryngol. Head Neck Surg, 111, 1994, s. 733-738.

4. Gabriel, P., Mazoit, X., Ecoffey, C.: Relationship between clinical history, coagulation tests, and perioperative bleeding during tonsillectomies in pediatrics. J. Clin. Anesth., 12, 2000, s. 288-291.

5. Hermann, K.: Joint statement on the need for preoperative coagulation tests before adenotomy and tonsillectomy in children. Laryngorhinootologie. 85, 2006, s. 580-581.

6. Chee, Y. L., Crawford, J. C., Watson, H. G. et al.: Guidelines on the assessment of bleeding risk prior to surgery or invasive procedures. Br. J. Haematol, 140, 2008, s. 496-504.

7. Kang, J., Brodsky, L., Danziger, I. et al.: Coagulation profile as a predictor for post-tonsillectomy and adenoidectomy (T + A) hemorrhage. Int. J. Otorhinolaryngol, 28, 1994, s. 157-165.

8. Licameli, G. R., Jones, D. T., Santosuosso, J. et al.: Use of a preoperative bleeding questionnaire in pediatric patients who undergo adenotonsillectomy. Otolaryngol. Head Neck Surg., 139, 2008, s. 546-550.

9. Mach, J.: Doporučené postupy, standardy. Co je lege artis, kdo to posoudí a podle jakých kritérií. Tempus Medicorum, 18, 2009, s. 32-33.

10. Samková, A., Pařízková, E., Dulíček, P.: Význam předoperačního vyšetření hemostázy u dětí před adenotomií a tonzilektomií. Čs. Pediatr., v tisku

11. Scheckenbach, K., Bier, H., Hoffmann, T. K. et al.: Risk of hemorrhage after adenoidectomy and tonsillectomy. Value of the preoperative determination of partial thromboplastin time, prothrombin time and platelet count. HNO, 56, 2008, s. 312-320.

12. Schwaab, M., Hansen, S., Gurr, A. et al.: Significance of blood tests prior to adenoidectomy. Laryngorhinootologie, 87, 2008, s. 100-106.

13. Windfuhr, J. P., Chen, Y. S.: Hemorrhage following pediatric tonsillectomy before puberty. Int. J. Pediatr. Otorhinolaryngol, 58, 2001, s. 197-204.

14. Windfuhr, J. P., Chen, Y. S.: Post-tonsillectomy and -adenoidectomy hemorrhage in nonselected patients. Ann. Otol. Rhinol. Laryngol, 112, 2003, s. 63-70.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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