Sickle Cell Disease and Tonsillectomy: Preoperative Management and Postoperative Complications

摘要: Background: Patients with sickle cell disease are recognized as having a relatively higher risk for postoperative complications, including fever, atelectasis, pneumonia, or vaso-occlusion. Objective: To present protocol preoperative management of patients undergoing tonsillectomy, the use transfusions and intravenous hydration. Design: Retrospective chart review. Setting: Academic, tertiary care referral medical center. Patients: Seventy-five who underwent tonsillectomy without adenoidectomy were included Preoperative was documented, factors assessed. Intraoperative reviewed, complications identified compared data management. Results: consisted to hemoglobin S ratio (hemoglobin S—total hemoglobin) less than 40% level greater 100 g/L. Aggressive hydration 1.5 times maintenance fluid given 24 hours before surgery. Increased associated (P Conclusions: Children presenting elective should be transfusion in an attempt reduce complications. Additional factors, such age presence obstructive sleep apnea, only increase potential risks. Arch Otolaryngol Head Neck Surg. 1997;123:689-692