Why the study?
Does endotracheal anesthesia improve airway patency in children undergoing tonsillectomy and adenoidectomy?
Does endotracheal anesthesia improve airway patency in children undergoing tonsillectomy and adenoidectomy?
The authors advocate for the use of endotracheal anesthesia in pediatric tonsillectomy and adenoidectomy to maintain a patent airway.
Endotracheal anesthesia may secure airway patency during pediatric tonsillectomy; leaves open need for randomized trials to guide modern practice.
The use of endotracheal methods of anesthesia has been widely accepted for adults. For children, such methods are standard in many operations, especially those about the head and neck, such as craniotomy and cleft palate. The use of endotracheal anesthesia for tonsillectomy and adenoidectomy in children has gained favor slowly in spite of its being the routine method of general anesthesia for tonsillectomy in adults in many hospitals. We believe that the advantages of endotracheal anesthesia for tonsillectomy and adenoidectomy are as great for children as for adults, if not greater, and in our experience the disadvantages have been encountered no more frequently and they have been of no greater magnitude in children than in adults. ADVANTAGES The endotracheal tube serves as an airway that is continuously patent in contrast to the frequent obstruction to respiration that occurs during tonsillectomy when an endotracheal tube is not used. A continuously patent
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JOHN W. PENDER (1953) studied this question.
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