Guidelines pearls
The American academy of otolaryngology head and neck surgery foundation recommends an evidence-based guidelines for every step-in tonsillectomy surgery in the children aging from one- year- old to eighteen -year- old.
The recommendation include:
- The clinician should wait and monitor their patients for recurrent upper airway infections if the attacks was
- less than seven attacks in the previous year
- less than five attacks per year in the previous two years
- less than three attacks per year in the previous three years
- Single dose intravenous dexamethasone is recommended for children during tonsillectomy
- Clinician should prescribe oral pain medication such as ibuprofen, acetaminophen, or both for pain managements after tonsillectomy
- Antibiotic administration has an effective role in decrease post operative co-morbidities
