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Day Case Tonsillectomy—The Campbellton Experience

Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.

www.cfpc.ca/mainpro-manual

Dr. Pradeep Shenoy, MD, DLO, FRCS, FACS, is the ENT service chief, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
Dr. Michael Aldea, MD, Anesthesiologists, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
Dr. Jami Sridhar, MD, Anesthesiologists, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.

Abstract

Tonsillectomy is a routine surgery performed in Campbellton Regional Hospital. Before January 2012 all the tonsillectomies were one day procedure. Due to reduction in the hospital beds, there was a significant pressure on the ENT service to perform more of tonsillectomies as day case procedures.

A Prospective and retrospective study was done for the day case tonsillectomies from January 2012 till June 2013 and results are reported.

Key words: DCT (day-case-tonsillectomy), post-tonsillectomy hemorrhage (PTH), post-tonsillectomy pain (PTP),Post-operative nausea and vomiting (PONV), ASA (American Society of Anaesthesiologist) grading of patients, PACU (Post-anesthesia care Unit).

Comments

55 year old female grav 0 patient on Remicade for Ulcerative colitis(controlled) has a symptomatice enlarged left tonsil with sleep apnea. Health is very good. Would there be a risk?

Please consult an immunologist and an internist before considering tonsillectomy. Since the patient is 55 years old, a routine CBC and coagulation profile and the opinion of an anaesthetist should be considered before tonsillectomy.

Although this is reported in the literature, we have not had any post operative deaths.

Did you have any post operative deaths after tonsillectomy, although it is rare complication- anaesthetic deaths from chloroform has been known to occur, heamorrhage in the post op period with aspiration into trachea has been a cause for death in rare cases.