What are the three indications for a tonsillectomy?

Possible indications for tonsillectomy include sleep apnea and other obstructive sleep-related breathing disorders, recurrent tonsillitis, peritonsillar abscess, periodic fever, aphthous stomatitis, pharyngitis, adenitis (PFAPA), and other miscellaneous rare conditions.

What are the recommended criteria for a tonsillectomy?

Tonsillectomy may be considered for recurrent throat infection with a frequency of at least 7 episodes in the past year or at least 5 episodes per year for 2 years or at least 3 episodes per year for 3 years with documentation in the medical record for each episode of sore throat and 1 or more of the following: …

What are indications for tonsillectomy & adenoidectomy surgery?

Results: Absolute indications for tonsillectomy and adenoidectomy include adenotonsillar hyperplasia with obstructive sleep apnea, failure to thrive, or abnormal dentofacial growth; suspicion of malignant disease; and (for tonsillectomy) hemorrhagic tonsillitis.

What is the nursing management of tonsillectomy?

Managing Post-Operative Bleeding Keep the patient nil by mouth. Consider antiemetic if patient nauseated. Record estimated amount of blood loss (note that bleeding may be haemoptysis or haematemesis as children often swallow blood). Allow patient to sit upright, leaning forward to assist in keeping blood out of airway.

When is tonsillectomy indicated?

Tonsillectomy is indicated for individuals who have experienced more than 6 episodes of streptococcal pharyngitis (confirmed by positive culture) in 1 year, 5 episodes in 2 consecutive years, or 3 or more infections of tonsils and/or adenoids per year for 3 years in a row despite adequate medical therapy, or chronic or …

Who is a candidate for tonsillectomy?

Your doctor may decide that you are a good candidate for tonsillectomy if: You have more than four tonsil infections over a year, or 5 to 7 over a two-year period. You have bacterial tonsillitis that doesn’t improve with antibiotics.

When is a tonsillectomy contraindicated?

Contraindications for tonsillectomy include the following: Bleeding diathesis. Poor anesthetic risk or uncontrolled medical illness. Anemia.

When is a tonsillectomy indicated?

Tonsillectomy may be considered in patients with recurrent throat infections if they have had at least seven documented episodes of sore throat in the previous year, at least five documented episodes in each of the previous two years, or at least three documented episodes in each of the previous three years, plus a …

What are the current indications for gastric lavage?

The current indications for lavage are obtundation, unp … Gastric lavage has been used to manage toxic ingestions since the early 1800s. The entire realm of gastrointestinal decontamination has been extensively studied for the past 30 years. Recommendations are still evolving and remain controversial.

Are there indications for tonsillectomy in older adults?

The literature regarding indications for tonsillectomy is largely focused on children. The extent to which pediatric data can be reliably extrapolated to older patients is unclear. This topic will review indications for performing tonsillectomy in adults.

When is tonsillectomy indicated in the treatment of dysphagia?

The guidelines include consideration of tonsillectomy for poorly validated indications such as halitosis, febrile seizure, dental malocclusion, dysphagia, dysphonia, and psoriasis. Tonsillectomy and adenoidectomy remain common surgeries, yet their efficacy had not been well studied until 1984.

Can gastric lavage be used as a decontamination measure?

With the widespread administration of activated charcoal as the current decontamination measure of choice, there remain very few indications for performing gastric lavage for decontamination, if any.