Skip to main content Accessibility help
×
Home

To proceed or not to proceed: ENT surgery in paediatric patients with acute upper respiratory tract infection

  • S Shemesh (a1), S Tamir (a1), A Goldfarb (a1), T Ezri (a2) (a3) and Y Roth (a1)...

Abstract

Background:

Upper respiratory tract infection is the most common non-preventable cause of surgery cancellation. Consequently, surgeons and anaesthesiologists involved in elective ENT surgical procedures frequently face a dilemma of whether to proceed or to postpone surgery in affected children.

Methods:

A literature review was conducted and a practical assessment algorithm proposed.

Conclusion:

The risk–benefit assessment should take into consideration the impact of postponing the surgery intended to bring relief to the child and the risks of proceeding with general anaesthesia in an inflamed airway. The suggested algorithm for assessment may be a useful tool to support the decision of whether to proceed or to postpone surgery.

Copyright

Corresponding author

Address for correspondence: Dr Shay Shemesh, Department of Otolaryngology – Head and Neck Surgery, Edith Wolfson Medical Centre, PO Box 5, 58100 Holon, Israel Fax: +972 3 5028199 E-mail: shaymess@hotmail.com

References

Hide All
1 Bathla, S, Mohta, A, Gupta, A, Kamal, G. Cancellation of elective cases in pediatric surgery: an audit. J Indian Assoc Pediatr Surg 2010;15:90–2
2 Tait, AR, Malviya, S, Voepel-Lewis, T, Munro, HM, Seiwert, M, Pandit, UA. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology 2001;95:299306
3 Tait, AR, Malviya, S. Anesthesia for the child with an upper respiratory tract infection: still a dilemma? Anesth Analg 2005;100:5965
4 Monto, AS, Ullman, BM. Acute respiratory illness in an American community. The Tecumseh study. JAMA 1974;227:164–9
5 Parnis, SJ, Barker, DS, Van Der Walt, JH. Clinical predictors of anaesthetic complications in children with respiratory tract infections. Paediatr Anaesth 2001;11:2940
6 Bösenberg, AT. The child with a runny nose! Upper respiratory tract infection in children: impact on anaesthesia. South Afr J Anaesth Analg 2007;13:33–5
7 Cohen, MM, Cameron, CB. Should you cancel the operation when a child has an upper respiratory tract infection? Anesth Analg 1991;72:282–8
8 Schreiner, MS, O'Hara, I, Markakis, DA, Politis, GD. Do children who experience laryngospasm have an increased risk of upper respiratory tract infection? Anesthesiology 1996;85:475–80
9 DeSoto, H, Patel, RI, Soliman, IE, Hannallah, RS. Changes in oxygen saturation following general anesthesia in children with upper respiratory infection signs and symptoms undergoing otolaryngological procedures. Anesthesiology 1988;68:276–9
10 Kim, SY, Kim, JM, Lee, JH, Kang, YR, Jeong, SH, Koo, BN. Perioperative respiratory adverse events in children with active upper respiratory tract infection who received general anesthesia through an orotracheal tube and inhalation agents. Korean J Anesthesiol 2013;65:136–41
11 Rolf, N, Coté, CJ. Frequency and severity of desaturation events during general anesthesia in children with and without upper respiratory infections. J Clin Anesth 1992;4:200–3
12 Tait, AR, Pandit, UA, Voepel-Lewis, T, Munro, HM, Malviya, S. Use of the laryngeal mask airway in children with upper respiratory tract infections: a comparison with endotracheal intubation. Anesth Analg 1998;86:706–11
13 von Ungern-Sternberg, BS, Boda, K, Schwab, C, Sims, C, Johnson, C, Habre, W. Laryngeal mask airway is associated with an increased incidence of adverse respiratory events in children with recent upper respiratory tract infections. Anesthesiology 2007;107:714–19
14 von Ungern-Sternberg, BS, Habre, W, Erb, TO, Heaney, M. Salbutamol premedication in children with a recent respiratory tract infection. Paediatr Anaesth 2009;19:1064–9
15 Davis, PJ, Cladis, FP, Motoyama, EK. Smith's Anesthesia for Infants and Children, 8th edn. St Louis: Mosby, 2011;xix, 1356
16 Becke, K. Anesthesia in children with a cold. Curr Opin Anaesthesiol 2012;25:333–9
17 Oberer, C, von Ungern-Sternberg, BS, Frei, FJ, Erb, TO. Respiratory reflex responses of the larynx differ between sevoflurane and propofol in pediatric patients. Anesthesiology 2005;103:1142–8

Keywords

To proceed or not to proceed: ENT surgery in paediatric patients with acute upper respiratory tract infection

  • S Shemesh (a1), S Tamir (a1), A Goldfarb (a1), T Ezri (a2) (a3) and Y Roth (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed