Identification of Oxygen Desaturation in Patients Admitted Following Adenotonsillectomy'
- Conditions
- Obstructive Sleep Apnea
- Interventions
- Diagnostic Test: Continuous Pulse Oximetry
- Registration Number
- NCT06512285
- Lead Sponsor
- Baylor College of Medicine
- Brief Summary
Sleep apnea has become exceedingly recognized in children. The primary treatment for sleep apnea in children is surgery in the form of adenotonsillectomy. The majority of children that undergo adenotonsillectomy are discharged following their immediate recovery in the post anesthesia care unit.
- Detailed Description
Based on national and international consensus statements, institutional practice has developed at Texas Children's Hospital as to which patients require overnight observation following adenotonsillectomy for continuous pulse oximeter monitoring to assess for desaturation events. There is insufficient evidence to suggest which patients need to stay for pulse oximeter monitoring which has led to many patients being admitted unnecessarily. Therefore, the aim of this study is to capture data prospectively on pulse oximetry in children admitted overnight following adenotonsillectomy to identify risk factors for post operative oxygen desaturation.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 500
- Adenotonsillectomy surgery
- Patient meeting institutional guidelines for postoperative admission (e.g, admitted following surgery from recovery room).
- Parental refusal
- Airway Surgery in addition to adenotonsillectomy
- Patient psychological limitations, precluding wearing device (e.g. autism).
- Patient not meeting institutional guidelines for postoperative admission (e.g, discharged following surgery from recovery room).
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Adenotonsillectomy patients Continuous Pulse Oximetry Patients having undergone adenotonsillectomy at Texas Children's Hospital admitted for overnight observation based on our institutional protocol will be enrolled. A Wrist OX 3150 (Nonin Medical) will be placed in PACU with saturations recorded until the following morning after the surgery. The patient will undergo pulse oximetry monitoring separately based on the hospital protocol that will be used to guide care. Data from the Wrist Ox will not be avail to the treatment team and will only be analyzed for research purposes.
- Primary Outcome Measures
Name Time Method Continuous pulse oximetry following adenotonsillectomy 1 day Use of a continuous capture pulse oximeter to identify oxygen desaturations postoperatively
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Texas Childrens Hospital
🇺🇸Houston, Texas, United States