 |
|
|
|
January 20th, 2014
11:18 AM ET
'Routine' tonsillectomies not so routineWhen Jahi McMath suffered severe complications following a tonsillectomy, and doctors declared her brain dead, many parents were shocked. More than 500,000 tonsillectomies are performed each year on children in the United States; it's the second most common pediatric surgery. But how routine are these procedures really? Not so much, a new study published Monday in the scientific journal Pediatrics suggests. Researchers found the quality of care before, during and after a tonsillectomy varies greatly depending on the hospital. When routine surgeries go wrong "We were surprised at the degree of variation between hospitals in the use of medications ... and revisits to hospitals after the surgery for complications," said lead study author Dr. Sanjay Mahant. Researchers analyzed data from the Pediatric Health Information System, looking specifically at 139,155 low-risk children who underwent tonsillectomies between 2004 and 2010 at 36 children's hospitals across the United States. Guidelines from the American Academy of Otolaryngology-Head and Neck Surgery recommend doctors administer dexamethasone on the day of a tonsillectomy. Dexamethasone is used to reduce nausea and pain after surgery. The guidelines do not recommend administering antibiotics because previous studies have shown that antibiotics do not help in preventing bleeding, pain or infection after a tonsillectomy. In addition to looking at whether hospital staff followed these guidelines, Mahant and his team also calculated the number of patients who returned to the hospital in the 30 days after surgery for bleeding, vomiting/dehydration, pain, infection and/or respiratory problems. The results Close to 70% of patients received dexamethansone on the day of their surgery. Nearly a third received antibiotics. A total of 10,868 children - about 7.8% - returned to the hospital after being discharged, most for bleeding and vomiting/dehydration. Those who came in with vomiting tended to return one to two days after being discharged. Those who returned with bleeding were most likely to come in six to seven days after. Older children were more likely to suffer from bleeding problems while younger kids were more likely to experience nausea. Trends The researchers also looked at dexamethasone and antibiotic use over time, as well as the revisit rate during the study period. Dexamethasone use did not change between 2004 and 2010, but the use of antibiotics dropped significantly. The hospital revisit rate remained fairly stagnant. Mahant and his team have held webinars with hospital administrators to educate them about the study results. "There is definitely more work that needs to be done to understand how to reduce revisits to hospital for complications," Mahant told CNN. "One way to investigate this is by studying and learning from high-performing hospitals." Keeping your kid safe Parents and doctors should discuss the risks and benefits of any surgery, Mahant said. For some children, a tonsillectomy is the necessary, or sensible option. However, he said, there are many unanswered questions regarding the the benefits of tonsillectomies for treating certain issues, such as sleep apnea. "Parents should educate themselves about their child’s condition and treatment options, and ask questions so they feel comfortable about their decisions," he said. soundoff (2,279 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Next »Leave a Reply to 먹튀
Next entry »Guns in home increase suicide, homicide risk
« Previous entry5 studies you may have missed
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
This paragraph will help the internet people for setting up new webpage or even a weblog from start to end.
I'd like to thank you for the efforts you've put in penning this website. I'm hoping to view the same high-grade blog posts by you in the future as well. In truth, your creative writing abilities has inspired me to get my very own blog now 😉
http://www.synthedit.com/qa/index.php?qa=user&qa_1=seatcover75
I have to thank you for the efforts you've put in penning this blog. I really hope to view the same high-grade content by you in the future as well. In truth, your creative writing abilities has encouraged me to get my very own blog now 😉
https://clashofcryptos.trade/wiki/The_Best_Way_To_Play_At_A_Poker_Tournament
Aw, this was a really nice post. Finding the time and actual effort to generate a very good articleÖ but what can I sayÖ I procrastinate a lot and don't manage to get anything done.
https://www.goodreads.com/user/show/130922594-greenwood
avana avanafil stendra
Everything is very open with a really clear explanation of the issues. It was really informative. Your site is useful. Many thanks for sharing!
https://www.wall-bookmarkings.win/what-hollywood-can-teach-us-about-meogtwi-1
This is a good tip particularly to those fresh to the blogosphere. Brief but very precise informationÖ Thanks for sharing this one. A must read post!
http://www.bbs.91tata.com/home.php?mod=space&uid=4398616
priligy cost dapoxetine tablet price in india
Oh my goodness! Amazing article dude! Thank you so much, However I am having issues with your RSS. I donít know the reason why I am unable to join it. Is there anyone else having identical RSS issues? Anybody who knows the answer will you kindly respond? Thanx!!
https://www.worshiptraining.com/members/casino2beautysharon85/activity/282977/
Everything is very open with a precise clarification of the issues. It was truly informative. Your site is useful. Many thanks for sharing!
https://atyvkrasote.ru/user/profile/33615
I want to to thank you for this very good read!! I certainly enjoyed every little bit of it. I have got you book-marked to look at new stuff you postÖ
http://www.forcesoftao.be/mybb/member.php?action=profile&uid=29763
Excellent site you have here.. Itís hard to find excellent writing like yours these days. I honestly appreciate people like you! Take care!!
https://www79.zippyshare.com/v/mbfzK5CB/file.html
I was curious if you ever thought of changing the layout of your blog?
Its very well written; I love what youve got to say.
But maybe you could a little more in the way of content so people could connect with
it better. Youve got an awful lot of text for only having 1 or two images.
Maybe you could space it out better?
This is the right web site for anybody who wishes to find out about this topic. You know a whole lot its almost hard to argue with you (not that I really will need toÖHaHa). You certainly put a new spin on a topic that's been discussed for a long time. Great stuff, just excellent!
https://diigo.com/0k839d
avana drug avanafil dosage
This website was... how do I say it? Relevant!! Finally I've found something that helped me. Appreciate it!
http://www.reedukacja.pl/Redirect.aspx?url=https://sprintervanrepairshop.com
Hi there just wanted to give you a quick heads up. The words in your post seem to be running off the screen in Ie. I'm not sure if this is a format issue or something to do with internet browser compatibility but I thought I'd post to let you know. The design look great though! Hope you get the problem solved soon. Cheers
http://cutejordanoutfitsdoud695.theglensecret.com/dishes-for-carpet-cleaner
I must express my appreciation to this writer just for rescuing me from such a trouble. As a result of exploring throughout the the net and obtaining opinions which were not pleasant, I figured my life was well over. Existing without the approaches to the difficulties you have solved by way of your main write-up is a crucial case, as well as ones that would have badly damaged my career if I hadn't discovered the website. The skills and kindness in handling every item was very useful. I'm not sure what I would have done if I had not discovered such a step like this. It's possible to at this time relish my future. Thanks a lot very much for the professional and result oriented guide. I won't be reluctant to propose your web blog to anyone who needs to have guide about this area.
https://postheaven.net/gardenhbmu/what-are-the-costs-for-expert-carpet-cleaning-expert-carpet-cleaning-prices
Pretty! This has been an extremely wonderful article. Thank you for providing this info.
https://www.hulkshare.com/bayrat6
Everything is very open with a clear explanation of the challenges. It was really informative. Your site is extremely helpful. Thank you for sharing!
http://www.handsacrossthewater.com/__media__/js/netsoltrademark.php?d=www.arizonasvision.com
http://google.gm/url?q=https://arizonasvision.com
Hi, I do think this is a great blog. I stumbledupon it 😉 I will come back once again since i have book marked it. Money and freedom is the best way to change, may you be rich and continue to help others.
https://www.fummieluv.com/video/#comment-108677
Great information. Lucky me I discovered your site by chance (stumbleupon). I've bookmarked it for later!
http://apk-mobile.com/user/casino9v4ykyqc222
https://map.google.ws/url?rct=i&sa=t&url=https://ocrv.tv
This is a topic that's near to my heart... Cheers! Exactly where are your contact details though?
https://map.google.cz/url?q=j&rct=j&url=https://aikareborn.com
https://map.google.im/url?rct=t&sa=t&url=https://optometristphoenixaz.com
Excellent article! We will be linking to this particularly great post on our website. Keep up the great writing.
http://my-moda.ru/user/casino5l5wxqgw676
http://www.kombi-nation.co.uk/execs/trackit.php?user=guest_IuSyD&page=https://www.rvcollisionrepairpaintshop.com
This is my first time go to see at here and i am in fact happy to read
all at single place.
https://google.com.hk/url?rct=j&sa=t&url=https://bettersightovernight.com
http://www.xata.co.il/redirect.php?url=https3a2f2feyedoctorphoenixaz.com
This web site really has all the information I wanted concerning this subject and didn’t know who to ask.
https://clients1.google.sh/url?q=https://mastermindofmen.com
Excellent write-up. I definitely appreciate this website. Keep it up!
https://www.autotriti.gr/news/preview_news.asp?home=webnews&url=http://www.fleetservicerepairshop.com
chloroquine phosphate side effects https://chloroquineorigin.com/ chlorowuine
https://maps.google.la/url?sa=i&source=web&rct=j&url=https3A2F2Fcarsonrvexperience.com&sa=D&sntz=1&usg=AFQjCNGaY_nlK9ozc51fqwjiVdMaYZL7rg
https://kauppa.waltti.fi/redirect-to-lang/?lang=fi&url=http://internetmarketingwashington.com
Aw, this was an extremely nice post. Taking the time and actual effort to produce a great article… but what can I say… I hesitate a whole lot and don't seem to get anything done.
https://google.sm/url?sa=j&rct=j&url=https://boxtruckrepairshop.com
Pretty! This has been an extremely wonderful post. Many thanks for supplying this info.
https://noon-wiki.win/index.php/먹튀검ì¦ì‚¬ì´íŠ¸:_All_the_Stats,_Facts,_and_Data_You'll_Ever_Need_to_Know_11019
After I initially left a comment I appear to have clicked on the -Notify me when new comments are added- checkbox and now whenever a comment is added I receive four emails with the exact same comment. Perhaps there is an easy method you can remove me from that service? Thanks a lot!
https://telegra.ph/How-to-Choose-the-Perfect-Casino-Games-03-13
priligy uk priligy pills for sale
An outstanding share! I've just forwarded this onto a coworker who was conducting a little research on this. And he in fact ordered me lunch due to the fact that I found it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanks for spending time to discuss this topic here on your web site.
http://www.tjml.top/bbs/home.php?mod=space&uid=452406
I seriously love your website.. Very nice colors & theme. Did you create this web site yourself? Please reply back as Iím attempting to create my very own website and would like to find out where you got this from or what the theme is named. Many thanks!
https://telegra.ph/What-Are-Some-Free-Online-Casino-Card-Games-03-13
Hello there! This article couldnít be written much better! Going through this post reminds me of my previous roommate! He always kept preaching about this. I will send this information to him. Fairly certain he's going to have a good read. Many thanks for sharing!
https://blip.fm/stockbike79
http://www.singleadz.com/cgi-bin/toplist/out.cgi?id=vidsite&url=https://fleetvehiclerepairshop.com
The very next time I read a blog, I hope that it doesn't fail me just as much as this particular one. I mean, I know it was my choice to read through, nonetheless I actually thought you would have something helpful to say. All I hear is a bunch of whining about something that you could fix if you were not too busy looking for attention.
https://www.pinterest.com/truemckinney/
An impressive share! I've just forwarded this onto a coworker who was conducting a little homework on this. And he in fact ordered me breakfast due to the fact that I discovered it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanks for spending the time to talk about this matter here on your internet site.
http://idnovo.com.cn/home/link.php?url=https://www.orangecountybarber.com
cloroquin https://chloroquineorigin.com/ chloroquinw
https://www.socialpsychology.org/client/redirect.php?from=search&id=40798&url=http://www.ocrvandtrucks.com
http://www.vidtunez.com/watch?v=YyIKCNChmJ8
I blog frequently and I really appreciate your content. This great article has really peaked my interest. I will book mark your blog and keep checking for new details about once per week. I subscribed to your Feed as well.
https://www.ed2go.com/gw?origin=emailpopular&campaign=20101208&url=https://www.craftbrewersofboise.com