1
|
Hugel M, Ayari-Khalfallah S, Fieux M, Coudert A, Truy E, Hermann R. Feasibility of day-case pediatric cochlear implantation. Eur Arch Otorhinolaryngol 2022; 279:5123-5133. [PMID: 35476132 DOI: 10.1007/s00405-022-07353-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 03/10/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE Pediatric cochlear implantation is performed on an outpatient basis in an inconstant way. The aim of this study is to assess the feasibility of day-case pediatric cochlear implantation by determining the acceptability of outpatient-to-inpatient conversion rate (acceptability threshold of 5%) and to assess the safety by comparing outpatient and inpatient postoperative events. We also want to identify conversion predictive factors. METHODS We conducted a monocentric retrospective study including 267 cases aged 6 months to 18 years who underwent unilateral cochlear implantation between 2016 and 2020. This population was divided into two groups: outpatient group (190 cases) and inpatient group (77 cases). RESULTS Among the 190 cases scheduled as day surgery, 9 cases required conversion to conventional hospitalization which leads to an outpatient-to-inpatient conversion rate of 4.7%. Postoperative nausea and vomiting (PONV) were involved in all cases of conversion. Conversion predictive factors were the presence of an inner ear malformation at risk of gusher (OR 32.51, 95% CI [4.98-370.27], p 0.001) and the intraoperative administration of morphine (OR 8.52, 95% CI [1.38-86.84], p 0.035). There was no statistically significant difference in immediate postoperative complications (outpatient 14.2% vs inpatient 16.9% p 0.715), early-stage complications (outpatient 12.6% vs inpatient 10.4% p 0.812) and early-stage unplanned consultations (outpatient 4.7% vs inpatient 3.9% p 0.748) between outpatient and inpatient groups. Unplanned readmissions were found only in the outpatient group. CONCLUSION Day-case pediatric cochlear implantation is a feasible and safe procedure even in infants. The outpatient-to-inpatient conversion rate of 4.7% is considered acceptable but requires anticipation of human and accommodation needs. No causes of conversion were life-threatening. The risk of postoperative complications and unplanned consultations are not influenced by the mode of hospitalization. Special attention should be paid to the prevention of PONV and the presence of inner ear malformations.
Collapse
Affiliation(s)
- Margot Hugel
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France. .,Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service d'ORL et de Chirurgie Cervico-Faciale Pédiatrique, F-69500, Bron, France.
| | - Sonia Ayari-Khalfallah
- Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service d'ORL et de Chirurgie Cervico-Faciale Pédiatrique, F-69500, Bron, France
| | - Maxime Fieux
- Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, 69495, Pierre-Bénite, France.,Université Claude Bernard Lyon 1, 69003, Lyon, France
| | - Aurélie Coudert
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France.,Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service d'ORL et de Chirurgie Cervico-Faciale Pédiatrique, F-69500, Bron, France
| | - Eric Truy
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France.,Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, Service d'ORL et de Chirurgie Cervico-Faciale Pédiatrique, F-69500, Bron, France.,Université Claude Bernard Lyon 1, 69003, Lyon, France
| | - Ruben Hermann
- Hospices Civils de Lyon, Hôpital Edouard Herriot, Département d'oto-rhino-laryngologie, de chirurgie cervico-maxillo-faciale et d'audiophonologie, 69003, Lyon, France.,Université Claude Bernard Lyon 1, 69003, Lyon, France
| |
Collapse
|
2
|
Aleksandrovich YS, Rybianov VV, Pshenisnov KV, Razumov SA. Perioperative complications of pediatric otorhinolaryngological operations. Saudi J Anaesth 2020; 14:446-453. [PMID: 33447185 PMCID: PMC7796726 DOI: 10.4103/sja.sja_99_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 03/10/2020] [Accepted: 03/11/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND The identification of risk factors for the development of perioperative complications is one of the most important problems of pediatric anesthesiology. PURPOSE To identify risk factors for the development of perioperative complications in children undergoing ambulatory surgical interventions on ENT organs. METHODS Total of 141 patients were examined at the age from 7 to 17 years. Depending on the presence of complications all patients were divided into three groups: «No complications» (n = 64), «One complication» (n = 55) and «Two or more complications» (n = 22). The study was carried out in the following areas: Preoperative clinical status, intraoperative and postoperative complications. The severity of nasal breathing disorders was determined rhinomanometrically. 31 children underwent somnography. In the study of heart rate variability was evaluated. Intraoperative complications included: Cardiac arrhythmias, arterial hypertension and desaturation less than 90%. Postoperative complications included: Cardiorespiratory complications, pain, delirium, postoperative nausea and vomiting. RESULTS The most significant complication in the intraoperative period is desaturation below 90%, in the postoperative period they are pain, nausea and vomiting. Risk factors for the development of complications in the perioperative period are a decrease in the thyromental distance, hyperplasia of the tonsils of the third degree, Malampati score ≥ to 2 points, parents' bad habits, combined neurological and respiratory pathologies in a child, an assessment of the class «allergology» of the ASPOND scale is not less than 180 points and the prevalence of vagal influences. CONCLUSIONS The obtained results indicate that the presence of risk factors for perioperative complications during operations on ENT organs in children are associated with the initial autonomic status and the predominance of the parasympathetic nervous system as well as with clinical markers.
Collapse
Affiliation(s)
- Yu. S. Aleksandrovich
- Department of Anesthesiology, Intensive Care and Emergency Pediatrics, Postgraduate Education, St. Petersburg State Pediatric Medical University, St. Petersburg, Russia
| | - V. V. Rybianov
- Department of Anesthesiology, Intensive Care and Emergency Pediatrics, Postgraduate Education, St. Petersburg State Pediatric Medical University, St. Petersburg, Russia
| | - K. V. Pshenisnov
- Department of Anesthesiology, Intensive Care and Emergency Pediatrics, Postgraduate Education, St. Petersburg State Pediatric Medical University, St. Petersburg, Russia
| | - S. A. Razumov
- Department of Anesthesiology, Intensive Care and Emergency Pediatrics, Postgraduate Education, St. Petersburg State Pediatric Medical University, St. Petersburg, Russia
| |
Collapse
|