Tonsillar and Adenoidal Hyperplasia Surgery in Children

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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?

Ensuring reliable IV access without routine IV fluids Signup and view all the answers

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

Morphine or fentanyl titrated IV 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?

To assess the patient's airway risk and plan accordingly Signup and view all the answers

What position is recommended for extubation after an adenotonsillectomy?

Head-down position Signup and view all the answers

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

It may result in excessive bleeding from the tonsil bed Signup and view all the answers

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

Pillow under the chest Signup and view all the answers

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

It may cause significant bleeding 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?

Continual swallowing 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?

Aspiration Signup and view all the answers

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

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

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

Peritonsillar abscess (quinsy) Signup and view all the answers

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

To empty the stomach Signup and view all the answers

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

Use of hypotensive techniques (induced hypotension) Signup and view all the answers

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

Nasopharyngeal pack secured through nose Signup and view all the answers

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

Administering oral NSAID Signup and view all the answers