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Latest revision as of 02:17, 25 September 2026
Which one of the following patients are candidates for outpatient adenotonsillectomy in a freestanding surgery center?
a) 2 ½ year old 14 kg otherwise healthy boy with apnea-hypopnea index of 0.8
b) 5 year old 20 kg otherwise healthy girl with suspected mild-moderate obstructive sleep apnea without polysomnography
c) 7 year old 30 kg boy with Down syndrome with an apnea-hypopnea index of 5
d) 4 year old 40 kg otherwise healthy boy with an apnea-hypopnea index of 5
e) 8 year old 35 kg otherwise healthy girl with an apnea-hypopnea index of 11
Answer
Answer b.
Children with severe obstructive sleep apnea (AHI >10) (E), children younger than 3 years of age (A) and those with significant comorbidity (Down syndrome (C), morbid obesity (D)) should be admitted for observation after tonsillectomy.
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.
Keywords