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Peri-operative Care of the ENT Patient

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Pediatric Critical Care Medicine

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Abstract

Peri-operative management of the pediatric ENT patient is an important aspect of pediatric critical care. This chapter discusses the pre-operative risks contributing to morbidity and mortality, intraoperative complications, and post-operative problems associated most often with the otolaryngologic diseases observed in this population. Pre-operative issues include ENT specific informed consent as well as the optimization of those underlying medical conditions which may increase the risk of complications during treatment. Clinical topics are discussed by age of presentation: birth to 1 year, toddler (1–5 years old), young children to adolescents (5 years to teenagers) and those diseases that may present in all ranges of the pediatric population. These include epiglottitis, croup, retropharyngeal abscesses, foreign body aspirations and ingestions, hemangiomas, subglottic and tracheal stenosis, tracheotomies, ENT trauma, burns, and complications of tonsillectomy and adenoidectomy. Post-operative complications may require management in the pediatric intensive care unit (PICU). Complications especially important in this population include post-operative nausea and vomiting, post-intubation respiratory compromise, pain management, and bleeding. Length of hospitalizations and readmissions in the intensive care setting for pediatric ENT patients are also discussed. The pediatric intensivist must be educated and familiar with common otolaryngologic diseases, treatment and potential complications in this age group.

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Authors and Affiliations

  1. Division of Pediatric Critical Care, Medical College of Wisconsin, Children’s Hospital of Wisconsin, 999 N. 92nd Street, Suite 550, Milwaukee, WI, 53226, USA

    Daisy A. Ciener MD

  2. Pediatric ICU, Summerlin Hospital, 657 North Town Center Drive, Las Vegas, NV, 89144, USA

    Obiageri Ekeh MD, MBBS

  3. Department of Pediatrics, Rainbow Babies Children’s Hospital, 11100 Euclid Avenue, Cleveland, OH, 44106, USA

    Katherine E. Mason MD

Authors
  1. Daisy A. Ciener MD
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  2. Obiageri Ekeh MD, MBBS
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  3. Katherine E. Mason MD
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Correspondence to Katherine E. Mason MD .

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Editors and Affiliations

  1. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Derek S. Wheeler

  2. Div. of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Hector R. Wong

  3. University of Michigan Medical School, Ann Arbor, Michigan, USA

    Thomas P. Shanley

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Ciener, D.A., Ekeh, O., Mason, K.E. (2014). Peri-operative Care of the ENT Patient. In: Wheeler, D., Wong, H., Shanley, T. (eds) Pediatric Critical Care Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6359-6_13

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  • DOI: https://doi.org/10.1007/978-1-4471-6359-6_13

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