Oxford guidelines for adult day-case tonsillectomy

Oxford guidelines were developed after critically reviewing the existing literature and aim to assist anaesthetists, surgeons and allied healthcare staff in providing optimal care for patients undergoing tonsillectomy as a day-case procedure. Appropriate patient selection, provision of robust analge...

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Bibliographic Details
Published in:Journal of Perioperative Practice 2023-01, Vol.33 (1-2), p.9-14
Main Authors: Chaidas, Konstantinos, Winterborn, Claire
Format: Article
Language:English
Subjects:
Adult
Adults
Ambulatory care
Ambulatory Surgical Procedures
Analgesia
Clinical practice guidelines
Discharge planning
Humans
Pain Management
Patient education
Perioperative care
Postoperative Hemorrhage - etiology
Throat surgery
Tonsillectomy - methods
Tonsillitis
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Summary:Oxford guidelines were developed after critically reviewing the existing literature and aim to assist anaesthetists, surgeons and allied healthcare staff in providing optimal care for patients undergoing tonsillectomy as a day-case procedure. Appropriate patient selection, provision of robust analgesia, antiemesis, perioperative warming and hydration are key factors to ensure patient comfort and allow same-day discharge. Patients can be discharged home after a minimum observation of 6h as this is the period with the greatest risk of primary haemorrhage. All patients must have a clear and safe understanding of which complications may occur and know how to seek help. A team effort and close collaboration between the anaesthetic, surgical, theatre and ward teams are essential to achieve optimum outcomes and reduce the rate of failed discharges.
ISSN:1750-4589
2515-7949
DOI:10.1177/17504589211031067