Tonsillar and Adenoidal Hyperplasia Surgery in Children
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Questions and Answers

Which type of endotracheal tube may be used for the excision of lymphoid tissue from the oropharynx or nasopharynx?

  • North-facing cuffed tube
  • West-facing cuffed tube
  • East-facing uncuffed tube
  • South-facing uncuffed tube (correct)
  • What is the recommended position for the patient during tonsillar and adenoidal surgery?

  • Lateral decubitus position
  • Supine position with a pad under shoulders (correct)
  • Prone position
  • Trendelenburg position
  • Which anesthesia induction technique is specifically mentioned for patients with nasopharynx obstruction?

  • Local anesthesia induction
  • Rapid sequence induction
  • IV induction
  • Inhalational induction with sevoflurane (correct)
  • What should be done to ensure reliable IV access during tonsillar and adenoidal surgery?

    <p>Ensuring reliable IV access without routine IV fluids</p> Signup and view all the answers

    Which analgesic agents are recommended for postoperative pain management after tonsillar and adenoidal surgery?

    <p>Morphine or fentanyl titrated IV</p> Signup and view all the answers

    Why is it important to exclude obstructive sleep apnea (OSA) during the preoperative phase of tonsillar and adenoidal surgery?

    <p>To assess the patient's airway risk and plan accordingly</p> Signup and view all the answers

    What position is recommended for extubation after an adenotonsillectomy?

    <p>Head-down position</p> Signup and view all the answers

    Why is blind pharyngeal suction with a rigid sucker not recommended after an adenotonsillectomy?

    <p>It may result in excessive bleeding from the tonsil bed</p> Signup and view all the answers

    What should be used to provide a necessary tilt in small children after an adenotonsillectomy?

    <p>Pillow under the chest</p> Signup and view all the answers

    Why is local anesthetic (LA) infiltration of the tonsil bed not recommended after an adenotonsillectomy?

    <p>It may cause significant bleeding</p> Signup and view all the answers

    What sign should be watched for in recovery after an adenotonsillectomy, indicating potential bleeding from the tonsil/adenoid bed?

    <p>Continual swallowing</p> Signup and view all the answers

    What is a common complication associated with tonsillar and adenoidal hyperplasia that can occur post-adenotonsillectomy and lead to problems like hypovolemia?

    <p>Aspiration</p> Signup and view all the answers

    What technique is generally preferred for endotracheal intubation in adenotonsillectomy procedures?

    <p>Inhalational induction left lateral/head-down</p> Signup and view all the answers

    What is a common complication that may require the use of a nasopharyngeal pack in adenotonsillectomy?

    <p>Peritonsillar abscess (quinsy)</p> Signup and view all the answers

    In adenotonsillectomy, what is the purpose of using a wide-bore gastric tube after bleeding has stopped?

    <p>To empty the stomach</p> Signup and view all the answers

    What technique may be required during nasal operations to reduce bleeding?

    <p>Use of hypotensive techniques (induced hypotension)</p> Signup and view all the answers

    In the context of adenotonsillectomy, what may occasionally be needed if bleeding from adenoids cannot be controlled?

    <p>Nasopharyngeal pack secured through nose</p> Signup and view all the answers

    What should be avoided in the preoperative period to decrease the need for suppositories?

    <p>Administering oral NSAID</p> Signup and view all the answers

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