 |
|
|
|
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 토토
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.
 |
|
|
|
http://www.glorioustronics.com/redirect.php?link=http://www.ocrvcenter.com/nationwide-rv-collision-repair-shop-near-me/
http://wwwnuevo.jus.mendoza.gov.ar/c/blogs/find_entry?p_l_id=29236&noSuchEntryRedirect=http://ocrvexperts.com/rv-repair-shop-orange-california
I used to be able to find good info from your content.
http://www.ric.edu/Pages/link_out.aspx?target=http://www.ocrvcenter.com/rv-repair-shop-torrance-california/
I want to to thank you for this good read!! I certainly loved every little bit of it. I have you saved as a favorite to look at new stuff you postÖ
https://casino2artcoke37.bravejournal.net/post/2021/03/13/Baccarat-Odds
When I originally commented I seem to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I receive four emails with the same comment. Is there a way you are able to remove me from that service? Kudos!
http://activ.mptl.ru/user/casino9c1ndezq248
I really like reading through an article that can make people think. Also, thank you for allowing me to comment!
https://jalandhar.indiaolx.com/user/profile/390232
Way too many blog writers nowadays however very few have posts worth spending time on browsing.
http://floodcrowd4.over-blog.com/2021/05/compare-fitness-equipment-prices-online-and-save-more-money.html
Thank you for the good writeup. It in fact was a amusement account it. Look advanced to more added agreeable from you! By the way, how could we communicate?
https://maps.google.co.za/url?q=https://vaoloto188.com/rut-tien-loto188/
buy chloroquine phosphate https://chloroquineorigin.com/ – chloroquine phosphate tablets chloroquine malaria clonidine hydrochloride buy chloroquine online canada
Clifton Steel's is a Hadfield Grade Manganese Steel made to solidify with effect. Just The Best Manganese Wear Plate
https://www.reverbnation.com/artist/carlosyrivas?profile_view_source=header_icon_nav
Oh my goodness! Impressive article dude! Thank you, However I am encountering difficulties with your RSS. I don’t understand the reason why I am unable to subscribe to it. Is there anyone else having similar RSS problems? Anyone that knows the answer will you kindly respond? Thanx!!
http://guozhenlai.com/link.php?url=http://ocrvcenter.com/rv-repair-shop-universal-city-california
I wanted to thank you for this good read!! I definitely loved every little bit of it. I've got you book-marked to check out new stuff you postÖ
http://dc-kapelka.ru/user/selectrabbit85/
chloroquine nz aralen chloroquine hydroxychloroquine coronavirus malaraquin https://chloroquineorigin.com/
Have you ever heard of second life (sl for short). It is basically a game where you can do anything you want. Second life is literally my second life (pun intended lol). If you want to see more you can see these Second Life authors and blogs
http://everydayliteracies.blogspot.com/2014/05/imagination-wanted-mobile-devices-in.html?showComment=1504199163810
Itís hard to find educated people for this topic, however, you seem like you know what youíre talking about! Thanks
http://medreseodshayha.ru/user/atomcod07/
https://tadagatadalafil.com/ tadalafil drug https://cttadalafil.com/ – tadalafil blood pressure tadalafil cost in canada
cyclomune 0.1% eye drops cost cyclomune 0.1% eye drops cost
https://letronc-m.com/redirector?url=https://www.ocrvcenter.com/rv-repair-shop-highland-california/
https://www.momoantena.com/redirect?url=https://ocrvcenter.com/motorhome-toilet-repair-near-me
tadalafil cost walmart tadalafil brands tadalafil cost walmart tadalafil without a doctor prescription https://tadacipetadalafil.com/ – cost tadalafil generic
https://tadalafilww.com/ cialis cost https://apcalisetadalafil.com/ – where to buy generic cialis online safely tadalafil order online no prescription
https://tadalafilww.com/ side effects for tadalafil cialis without prescription cialis tadalafil best price usa tadalafil
combigan 5 ml buy brimonidine
This website definitely has all the info I wanted concerning this subject and didn’t know who to ask.
https://www.firstlightfinancial.net/__media__/js/netsoltrademark.php?d=http://affordableranking.com
tadalafil side effects https://tadagatadalafil.com/ – buy tadalafil generic cialis tadalafil tadalafil goodrx https://cttadalafil.com/
buy cialis https://tadagatadalafil.com/ – tadalafil order online no prescription tadalafil online with out prescription tadalafil drug buy tadalafil
tadalafil goodrx cialis without prescription tadalafil tadalafil generic where to buy https://tadagatadalafil.com/
http://client.paltalk.com/client/webapp/client/External.wmt?url=https://ocrvcenter.co/rv-repair-shop-redondo-beach-california
where to buy generic cialis online safely https://tadagatadalafil.com/ best price usa tadalafil tadalafil price walmart cheap generic cialis for sale
cyclosporine 100 mg cyclomune eye drop
canada generic tadalafil tadalafil online with out prescription buy cialis pills tadalafil without a doctor prescription https://cttadalafil.com/ – cialis at canadian pharmacy
tadalafil online with out prescription https://tadagatadalafil.com/ – tadalafil liquid tadalafil side effects lowest price cialis side effects for tadalafil
buy cyclosporine online buy cyclomune online
tadalafil daily online tadalafil tadalafil without a doctor prescription prescription tadalafil online https://apcalisetadalafil.com/ – tadalafil
best price usa tadalafil buy generic cialis online with mastercard side effects of tadalafil https://cttadalafil.com/
Spot on with this write-up, I honestly feel this website needs far more attention. I’ll probably be back again to read through more, thanks for the information!
https://www.armawir.ru/bitrix/rk.php?goto=https://affordableranking.com
buy cyclosporine usa cyclosporine cost
What resources are available to anyone wanting to set up a creative writing course?
https://www.facebook.com/KateKowalskyWebMarketing
Your style is very unique compared to other folks I've read stuff from. Many thanks for posting when you have the opportunity, Guess I'll just bookmark this blog.
http://rd.nakanohito.jp/redirect/index/?url=http://ocrvcenter.com/rv-repair-shop-westminster-california/
https://esdlife.com/goto.asp?url=www.ocrvcenter.com/rv-repair-shop-palmdale-california/
combigan side effects combigan generic prices
I got collection of 22000 songs, and i would like to create own internet radio and DJ as well. Do anyone know how to do this in my blog page(blogspot) ?.
https://www.linkedin.com/in/kmkowalsky/
Anyone who knows with these watches would understand just how difficult it is to narrow down upon a solitary watch from the Citizen's Nighthawk line. It's nearly akin to pressing water from a stone, we assume.
https://www.facebook.com/patric.wilson.5602/posts/528293338339488
what is anal sex
https://munchkinkittensforsale.homesteadcloud.com/
https://www.archiportale.com/click.asp?Url=http://psicologoselenaromero.es/?p=1185
http://ms.zzedu.net.cn/link.jsp?url=https://guenterreiter.eu/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&limitstart=66580
https://apcalisetadalafil.com/ generic cialis online fast shipping https://tadacipetadalafil.com/ – tadalafil cialis cialis at canadian pharmacy
I love it when folks get together and share thoughts. Great site, keep it up!
http://5cfxm.hxrs6.servertrust.com/v/affiliate/setCookie.asp?catId=1180&return=https://forkliftswildwestlifttrucks.com/norco-forklifts
https://profile.hatena.ne.jp/Jodierodenth/profile
canada generic tadalafil https://tadagatadalafil.com/ – cheapest tadalafil cost tadalafil price walmart tadalafil drug cialis tadalafil