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Tonsillectomy Performed on an Outpatient Basis: Report of a Series of 40,000 Cases Performed Without a Death

Tonsillectomy Performed on an Outpatient Basis: Report of a Series of 40,000 Cases Performed... Abstract THE PURPOSE of this paper is to show that tonsillectomy and adenoidectomy can be performed with a high degree of safety on an outpatient basis. We are fully aware of the serious nature of this operation. The procedure, in our opinion, is a major operation fraught with many dangers. The literature1-7 is replete with examples of complications and many deaths have been recorded. It is our belief that these can be kept at a minimum if proper care is taken. Selection of Cases Emphasis is placed on the selection of cases and their preoperative medical evaluation. A careful history may reveal a bleeding tendency such as hemophilia, leukemia, or other blood dyscrasias. Sickle cell anemia and diabetes are looked for. Cardiac or renal disease may be found. Laboratory examinations include bleeding and clotting time, prothrombin time, platelet count, and a complete red blood cell (RBC) and white blood cell (WBC) References 1. Cohen, D.D., and Dillon, J.B.: Anesthesia for Outpatient Surgery , JAMA 196:114-116 ( (June 27) ) 1966.Crossref 2. Shane, S.M., et al: A Method of General Anesthesia for Tonsillectomy Without Ether or Endotracheal Tube , Arch Otolaryng 72:178-182 ( (Aug) ) 1960.Crossref 3. Bishop, H.F.: Operating Room Deaths , Anesthesiology 7:651-662 ( (Nov) ) 1946.Crossref 4. Baron, S.H., and Kohlmoss, H.W.: Laryngeal Sequelae of Endotracheal Anesthesia , Ann Otol 60: 767-792 ( (Sept) ) 1951. 5. Loeb, H.W.: Fatalities Following Operation Upon the Nose and Throat Not Dependent on Anesthesia: A Study of 332 Hitherto Unreported Cases , Ann Otol 31:273-296, 1922. 6. Adin, L.E., and Singleton, J.A.: Tonsils and Adenoids , Arch Otolaryng 52:642-645 ( (Oct) ) 1951. 7. Adin, L.E., and Singleton, J.A.: Tonsils and Adenoids , Arch Otolaryng 57:686-704 ( (June) ) 1953.Crossref 8. Seebert, C., and Engnoth, M.: Subglottic Edema and Intractable Hemorrhage Following an Adenotonsillectomy : Eye Ear Nose Throat Monthly 46: 1520-1522 ( (Dec) ) 1967. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Tonsillectomy Performed on an Outpatient Basis: Report of a Series of 40,000 Cases Performed Without a Death

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00770010309020
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PURPOSE of this paper is to show that tonsillectomy and adenoidectomy can be performed with a high degree of safety on an outpatient basis. We are fully aware of the serious nature of this operation. The procedure, in our opinion, is a major operation fraught with many dangers. The literature1-7 is replete with examples of complications and many deaths have been recorded. It is our belief that these can be kept at a minimum if proper care is taken. Selection of Cases Emphasis is placed on the selection of cases and their preoperative medical evaluation. A careful history may reveal a bleeding tendency such as hemophilia, leukemia, or other blood dyscrasias. Sickle cell anemia and diabetes are looked for. Cardiac or renal disease may be found. Laboratory examinations include bleeding and clotting time, prothrombin time, platelet count, and a complete red blood cell (RBC) and white blood cell (WBC) References 1. Cohen, D.D., and Dillon, J.B.: Anesthesia for Outpatient Surgery , JAMA 196:114-116 ( (June 27) ) 1966.Crossref 2. Shane, S.M., et al: A Method of General Anesthesia for Tonsillectomy Without Ether or Endotracheal Tube , Arch Otolaryng 72:178-182 ( (Aug) ) 1960.Crossref 3. Bishop, H.F.: Operating Room Deaths , Anesthesiology 7:651-662 ( (Nov) ) 1946.Crossref 4. Baron, S.H., and Kohlmoss, H.W.: Laryngeal Sequelae of Endotracheal Anesthesia , Ann Otol 60: 767-792 ( (Sept) ) 1951. 5. Loeb, H.W.: Fatalities Following Operation Upon the Nose and Throat Not Dependent on Anesthesia: A Study of 332 Hitherto Unreported Cases , Ann Otol 31:273-296, 1922. 6. Adin, L.E., and Singleton, J.A.: Tonsils and Adenoids , Arch Otolaryng 52:642-645 ( (Oct) ) 1951. 7. Adin, L.E., and Singleton, J.A.: Tonsils and Adenoids , Arch Otolaryng 57:686-704 ( (June) ) 1953.Crossref 8. Seebert, C., and Engnoth, M.: Subglottic Edema and Intractable Hemorrhage Following an Adenotonsillectomy : Eye Ear Nose Throat Monthly 46: 1520-1522 ( (Dec) ) 1967.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Sep 1, 1968

References