home
RSS
'Routine' tonsillectomies not so routine
January 20th, 2014
11:18 AM ET

'Routine' tonsillectomies not so routine

When 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.

The study

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 (2,275 Responses)
  1. 출장안마

    Aw, this was an incredibly good post. Taking a few minutes and actual effort to generate a great articleÖ but what can I sayÖ I procrastinate a whole lot and never seem to get anything done.

    http://sc.sie.gov.hk/TuniS/k-anma.com/

    May 28, 2021 at 18:55 | Report abuse | Reply
  2. Muoi Chadderton

    https://k12.instructure.com/courses/266736/pages/nvme-ssd-why-everyone-is-crazy-about-this-storage-technology?module_item_id=3605127

    https://www.breaker.audio/tech-reviews-and-tutorials-with-techstat-dot-net

    May 28, 2021 at 19:35 | Report abuse | Reply
  3. RV Kitchen Riverside

    I absolutely love your site.. Excellent colors & theme. Did you build this site yourself? Please reply back as I’m wanting to create my own personal website and would like to know where you got this from or just what the theme is named. Appreciate it!

    /

    May 28, 2021 at 21:29 | Report abuse | Reply
  4. RV Shades Los Angeles

    Everything is very open with a precise clarification of the issues. It was truly informative. Your website is very useful. Thank you for sharing!

    /

    May 28, 2021 at 23:30 | Report abuse | Reply
  5. Running Board Repair Dodge Sprinter

    Next time I read a blog, Hopefully it won't disappoint me as much as this particular one. After all, I know it was my choice to read, however I truly believed you would probably have something helpful to talk about. All I hear is a bunch of moaning about something you can fix if you weren't too busy searching for attention.

    https://glowing.com/external/link?next_url=http://fleetservicesocrv.com

    May 28, 2021 at 23:48 | Report abuse | Reply
  6. 출장마사지

    Way cool! Some very valid points! I appreciate you writing this post and the rest of the website is really good.

    https://www.fitpa.co.za/forum-members/anma6modemscrew3/activity/164020/

    May 29, 2021 at 00:23 | Report abuse | Reply
  7. 출장마사지

    Hey there! I just would like to offer you a big thumbs up for your great information you have here on this post. I will be coming back to your blog for more soon.

    https://godotengine.org/qa/index.php?qa=user&qa_1=platekick8

    May 29, 2021 at 02:45 | Report abuse | Reply
  8. Digital Marketing Consultant Near Me

    Your style is unique compared to other folks I've read stuff from. Thanks for posting when you've got the opportunity, Guess I'll just book mark this blog.

    https://www.wintersteiger.com/letter.php/addhhgifai/77878/?link=http://postfallsbootcamp.com

    May 29, 2021 at 05:29 | Report abuse | Reply
  9. Jonie Mcdill

    Have you ever heard of second life (sl for short). It is basically a video 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 websites and blogs

    http://rumblingstrips.blogspot.com/2007/01/i-am-not-sure-if-i-heard-correctly-but.html

    May 29, 2021 at 06:23 | Report abuse | Reply
  10. 출장안마

    Hi, I do believe this is a great web site. I stumbledupon it 😉 I will revisit yet again since i have bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.

    http://www.joi3.com/go.php?url=http://hectorxigf352.simplesite.com/449079004

    May 29, 2021 at 08:38 | Report abuse | Reply
  11. 케이출장

    Excellent article. I certainly love this site. Keep it up!

    https://postheaven.net/massage5brasscourt8/whats-swedish-massage-therapy

    May 29, 2021 at 11:00 | Report abuse | Reply
  12. 출장 안마

    I needed to thank you for this excellent read!! I certainly loved every little bit of it. I've got you book-marked to look at new things you postÖ

    http://drforum.gemini.edu/users/casino5e3ggqym021/

    May 29, 2021 at 11:28 | Report abuse | Reply
  13. 출장안마

    You're so cool! I don't think I have read anything like that before. So good to find someone with original thoughts on this topic. Seriously.. thank you for starting this up. This website is something that is needed on the web, someone with some originality!

    http://www.pesscloud.com/PessServer.Web/Utility/Login/LoginPess.aspx?Returnurl=http://massage3ellachsckn.raidersfanteamshop.com/the-no-1-question-everyone-working-in-chuljangmasaji-should-know-how-to-answer

    May 29, 2021 at 12:05 | Report abuse | Reply
  14. find more info

    Helpful info. Lucky me I discovered your site unintentionally, and I'm shocked why this twist of fate did not came about earlier! I bookmarked it.|

    https://writeablog.net/notesnake48/the-advantages-of-diy-home-decor-and-mobile-home-decor-accessories

    May 29, 2021 at 13:05 | Report abuse | Reply
  15. Truck Maintenance

    Hey there! I just want to give you a huge thumbs up for the great info you have right here on this post. I'll be coming back to your web site for more soon.

    http://cl.angel.wwx.tw/debug/frm-s/fleetautorepairshop.com/bucket-truck-repair-shop-near-me/

    May 29, 2021 at 15:15 | Report abuse | Reply
  16. 출장 마사지

    Hi, I do think this is a great blog. I stumbledupon it 😉 I may revisit once again since i have book marked it. Money and freedom is the best way to change, may you be rich and continue to guide other people.

    http://shisha.from.kg/user/coffeemuscle7/

    May 29, 2021 at 18:47 | Report abuse | Reply
  17. best anal sex

    does anal sex cause cancer

    https://munchkins.company.com

    May 29, 2021 at 19:04 | Report abuse | Reply
  18. 출장안마

    An intriguing discussion is definitely worth comment. There's no doubt that that you ought to write more about this subject, it might not be a taboo subject but usually folks don't discuss these topics. To the next! Best wishes!!

    https://pastebin.fun/4P7J04Ddkv

    May 29, 2021 at 19:31 | Report abuse | Reply
  19. view it

    obviously like your website but you have to take a look at the spelling on several of your posts. A number of them are rife with spelling issues and I in finding it very bothersome to tell the truth on the other hand I will definitely come again again.|

    https://blogfreely.net/plowsnake93/home-stuff-reviews-for-diy-home-decorators

    May 29, 2021 at 20:14 | Report abuse | Reply
  20. Custom Paint

    http://www.voidstar.com/opml/?url=http://www.fleetservicerepairshop.com/sprinter-van-repair-shop-near-me-3

    May 29, 2021 at 21:49 | Report abuse | Reply
  21. Luxury Truck Shop

    Hi, I do think this is an excellent site. I stumbledupon it 😉 I am going to revisit once again since i have bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.

    https://www.domainsherpa.com/share.php?site=https://www.fleetservicesorangecounty.com/box-truck-mechanic-shop-near-me

    May 29, 2021 at 22:15 | Report abuse | Reply
  22. Truck Upholstery Shop

    I blog frequently and I truly appreciate your information. This great article has truly peaked my interest. I will take a note of your site and keep checking for new information about once a week. I opted in for your RSS feed as well.

    http://www.digitalkamera.de/rdr?rdr=http://fleettruckrepairshop.com/rv-wrap-shop-near-me

    May 30, 2021 at 02:05 | Report abuse | Reply
  23. Rv Collision Repair Shop Near Me

    bookmarked!!, I love your web site!

    https://thediplomat.com/ads/books/ad.php?i=4&r=https://boxtruckrepairshop.com/van-alignment-shop-near-me

    May 30, 2021 at 02:10 | Report abuse | Reply
  24. Ray Mohs

    Have you ever heard of second life (sl for short). It is essentially a video 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 websites and blogs

    http://everydayliteracies.blogspot.com/2006/02/playing-with-audio-files-shunfa-li-one.html

    May 30, 2021 at 07:13 | Report abuse | Reply
  25. get more

    I would like to thank you for the efforts you've put in writing this website. I am hoping to view the same high-grade content from you in the future as well. In fact, your creative writing abilities has encouraged me to get my own website now ;)|

    http://www.gardenershub.xyz/

    May 30, 2021 at 09:07 | Report abuse | Reply
  26. Box Truck Upgrades

    That is a very good tip especially to those new to the blogosphere. Simple but very accurate information… Thank you for sharing this one. A must read post!

    https://vi.paltalk.com/client/webapp/client/External.wmt?url=http://commercialrepairshop.com/mack-truck-repair-repair-shop-near-me

    May 30, 2021 at 09:08 | Report abuse | Reply
  27. Social Media Marketing Firms

    That is a very good tip particularly to those new to the blogosphere. Simple but very precise info… Thanks for sharing this one. A must read post!

    http://www.fashiontime.ru/bitrix/redirect.php?event1=&event2=&event3=&goto=http://hiddenapples.com/

    May 30, 2021 at 09:31 | Report abuse | Reply
  28. xem bong da tiep

    Tin Thể Thaobong da truc tiep hom nay ĐT Việt Nam nối tiếp chứng tỏ sự vượt lên trên trội trước những đàn em U22 nước Việt Nam với 2 thắng lợi trong 2 trận đấu nội bộ. Tin TứcBIDV Quang Trung và quá trình chinh phục niềm mơ ước còn dang dởSau một mùa giải đầy tiếc nuối, Ngân Hàng BIDV Quang Trung trở lại Giải hạng Nhì – Cúp VietFootball 2021 với quyết tâm giành tấm vé thăng hạng. Rất nhiều nhóm bóng tấn công tiếng muốn có sự đáp ứng

    https://www.thedolive.cc/

    May 30, 2021 at 09:38 | Report abuse | Reply
  29. 사설토토

    I really like it when people get together and share views. Great website, keep it up!

    https://www.cheaperseeker.com/u/r9sywos970

    May 30, 2021 at 09:45 | Report abuse | Reply
  30. 부산출장안마

    This is the perfect site for anyone who wants to understand this topic. You understand so much its almost tough to argue with you (not that I personally will need toÖHaHa). You definitely put a brand new spin on a subject that has been discussed for many years. Excellent stuff, just wonderful!

    https://www.illustratedfaith.com/members/georgeswiss78/activity/901847/

    May 30, 2021 at 11:07 | Report abuse | Reply
  31. click this link here now

    Hello, i think that i saw you visited my site thus i came to “return the favor”.I'm attempting to find things to enhance my site!I suppose its ok to use a few of your ideas!!|

    http://www.gardenershub.xyz/

    May 30, 2021 at 11:41 | Report abuse | Reply
  32. 사설토토

    Your style is very unique in comparison to other folks I've read stuff from. Many thanks for posting when you have the opportunity, Guess I'll just bookmark this blog.

    https://getpocket.com/@editorgum69

    May 30, 2021 at 12:57 | Report abuse | Reply
  33. thedolive

    Trái đá Bóngthedo ĐT nước ta kế tiếp bệnh tỏ sự vượt lên trội trước những đàn em U22 nước Việt Nam cùng với 2 thắng lợi trong 2 trận đấu nội bộ. Tin TứcBIDV Quang Trung và chặng đường đoạt được niềm mơ ước còn dang dởSau một mùa giải đầy tiếc nuối, BIDV Quang Trung quay về Giải hạng Nhì – Cúp VietFootball 2021 với quyết tâm giành tấm vé thăng hạng. Rất nhiều nhóm bóng tấn công h mong muốn có sự đáp ứng

    https://www.thedolive.tv/

    May 30, 2021 at 13:09 | Report abuse | Reply
  34. 메이저사이트

    Good post. I definitely appreciate this website. Keep writing!

    http://baccarat6elliottdtfu877.cavandoragh.org/the-most-common-meijeosaiteu-debate-isn-t-as-black-and-white-as-you-might-think

    May 30, 2021 at 13:10 | Report abuse | Reply
  35. Don Flosi

    https://samsungifa.com/taking-a-tour-of-the-samsung-galaxy-s21-ultra-5g/

    https://samsungifa.com/

    May 30, 2021 at 15:16 | Report abuse | Reply
  36. 부산출장안마

    This blog was... how do I say it? Relevant!! Finally I've found something that helped me. Kudos!

    http://www.docspal.com/viewer?id=aryaaqhb-18246581

    May 30, 2021 at 15:26 | Report abuse | Reply
  37. 대구출장

    Pretty! This has been an extremely wonderful post. Thanks for providing this info.

    http://www.docspal.com/viewer?id=jkcudujc-18246187

    May 30, 2021 at 23:55 | Report abuse | Reply
  38. cone crusher mantle

    There is a huge difference in between stainless-steel as well as chrome

    https://z0zpioo121.doodlekit.com/blog/entry/15111459/cast-steel-production-qualities-as-well-as-composition

    May 31, 2021 at 00:57 | Report abuse | Reply
  39. 대구출장

    I like it when folks come together and share thoughts. Great site, keep it up!

    https://anma5pingepoch6.werite.net/post/2021/04/23/Acupuncture-Triggers-Trigger-Points

    May 31, 2021 at 02:51 | Report abuse | Reply
  40. 부산출장마사지

    Everyone loves it when folks get together and share thoughts. Great site, stick with it!

    https://diigo.com/0kc4on

    May 31, 2021 at 03:50 | Report abuse | Reply
  41. Mercedes Sprinter Cowel Panel Rust Repair

    Next time I read a blog, Hopefully it doesn't disappoint me just as much as this particular one. After all, Yes, it was my choice to read through, nonetheless I genuinely thought you'd have something interesting to say. All I hear is a bunch of crying about something you could possibly fix if you were not too busy searching for attention.

    http://historisches-festmahl.de/go.php?url=https://sprintervanrepairnearme.com

    May 31, 2021 at 03:55 | Report abuse | Reply
  42. 메이저사이트

    I really like looking through an article that will make people think. Also, many thanks for allowing me to comment!

    http://ttlink.com/creamcanada67

    May 31, 2021 at 04:34 | Report abuse | Reply
  43. RV Body Repair Near Me

    I really love your site.. Very nice colors & theme. Did you make this website yourself? Please reply back as I’m trying to create my very own blog and would love to find out where you got this from or exactly what the theme is named. Many thanks!

    http://bbs.tut-obmen.ru/redirect/?g=https://www.ocrv.info

    May 31, 2021 at 05:50 | Report abuse | Reply
  44. Theo Hoffert

    Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you would like to see more you can see these Second Life authors and blogs

    http://everydayliteracies.blogspot.com/2017/04/spanish-language-edition-of-of-new.html?showComment=1552084347806&m=0

    May 31, 2021 at 05:58 | Report abuse | Reply
  45. 사설토토

    You have made some really good points there. I looked on the web for more information about the issue and found most people will go along with your views on this web site.

    https://www.ted.com/profiles/27035666

    May 31, 2021 at 06:32 | Report abuse | Reply
  46. 메이저사이트

    Everything is very open with a clear explanation of the challenges. It was really informative. Your website is very helpful. Thank you for sharing!

    http://www.adsblue.com/user/profile/38680

    May 31, 2021 at 07:00 | Report abuse | Reply
  47. Camper Van Repair Shop Near Me

    I enjoy reading a post that will make men and women think. Also, many thanks for allowing for me to comment!

    http://blog.tieonline.com/feedtie/feed2js.php?src=http://fleetautorepairshop.com/specialty-van-repair-shop-near-me/&num=3&au=y&date=y&utf=y&html=y

    May 31, 2021 at 07:32 | Report abuse | Reply
  48. RV Awning Repair Near Me

    https://www.kronenberg.org/download.php?download=https://orangecountyrvrepair.com

    May 31, 2021 at 08:40 | Report abuse | Reply
  49. Sprinter Van Technician Shop

    When I initially left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I receive 4 emails with the same comment. There has to be a means you can remove me from that service? Many thanks!

    http://www.boosterblog.com/vote-864130-668401.html?adresse=sprintervanrepairshop.com/winnebago-van-repair-shop-near-me

    May 31, 2021 at 08:52 | Report abuse | Reply
  50. Local Marketing Agencies Near Me

    https://www.erc.ur.ru/include/links.php?go=https://postfallsbootcamp.com

    May 31, 2021 at 10:06 | Report abuse | Reply
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

Leave a Reply to 거제출장마사지


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
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.