Our Summary

This research paper discusses a study conducted on children aged 5-12 years who were undergoing tonsil and adenoid removal surgeries. The aim was to see if repeatedly hearing their mother’s voice would reduce the likelihood of them becoming agitated when they woke up from anesthesia.

The children were divided into three groups: one group heard their mother’s voice as they were waking up (Group A), another heard their mother’s voice before they fell asleep and as they were waking up (Group O), and the last group heard silence (Group C).

The results showed that the children who heard their mother’s voice both before falling asleep and upon waking up (Group O) were less likely to become agitated when waking up from anesthesia, especially children aged 5-8 years. This group also had the lowest scores on a scale that measures how agitated a child is after anesthesia.

Therefore, the study suggests that having children hear their mother’s voice before and after surgery could be a good addition to the current methods used to help children recover from anesthesia.

FAQs

  1. What was the purpose of the study conducted on children undergoing tonsil and adenoid removal surgeries?
  2. How were the children divided into groups for the study and what did each group experience?
  3. What were the findings of the study regarding the impact of hearing a mother’s voice on children’s agitation after anesthesia?

Doctor’s Tip

A helpful tip a doctor might tell a patient about adenoidectomy is to make sure to follow all post-operative care instructions provided by the surgeon. This may include avoiding strenuous activities, sticking to a soft diet, and taking prescribed medications as directed. It is also important to keep the surgical site clean and dry to prevent infection. If any unusual symptoms or complications arise, such as excessive bleeding or difficulty breathing, it is important to contact the surgeon immediately. Following these guidelines can help ensure a smooth and successful recovery from adenoidectomy.

Suitable For

In general, patients who are recommended adenoidectomy are those who are experiencing chronic or recurrent infections of the adenoids, which are located at the back of the nasal cavity. Adenoidectomy may also be recommended for patients who are experiencing obstructive sleep apnea due to enlarged adenoids, as well as patients who have difficulty breathing through their nose or chronic nasal congestion.

Children are the most common patients recommended for adenoidectomy, as they are more likely to experience issues with enlarged adenoids. Symptoms that may indicate the need for an adenoidectomy in children include frequent ear infections, snoring, sleep disturbances, nasal congestion, and difficulty breathing through the nose.

Adults may also be recommended for adenoidectomy if they are experiencing similar symptoms or if they have chronic or recurrent sinus infections that are related to enlarged adenoids.

Overall, patients who are recommended for adenoidectomy are those who are experiencing chronic or recurrent issues related to enlarged adenoids that are not responding to other treatments. It is important for patients to consult with their healthcare provider to determine if adenoidectomy is the best treatment option for their specific condition.

Timeline

Before Adenoidectomy:

  1. Consultation with an ENT specialist to discuss symptoms and determine if adenoidectomy is necessary.
  2. Pre-operative evaluation to assess overall health and anesthesia risks.
  3. Patient and family education on the procedure, risks, and post-operative care.
  4. Pre-operative instructions such as fasting before surgery and medications to avoid.
  5. Anesthesia administration before the surgery.

After Adenoidectomy:

  1. Recovery in the post-anesthesia care unit (PACU) with monitoring of vital signs.
  2. Pain management and monitoring for any complications such as bleeding or infection.
  3. Instructions on diet, activity restrictions, and care of the surgical site.
  4. Follow-up appointments with the ENT specialist to monitor healing and address any concerns.
  5. Gradual return to normal activities and diet as advised by the healthcare provider.
  6. Improvement in symptoms such as nasal congestion, snoring, and breathing difficulties over time.

What to Ask Your Doctor

Some questions a patient should ask their doctor about adenoidectomy include:

  1. What are the potential risks and complications associated with adenoidectomy surgery?
  2. What are the potential benefits of undergoing an adenoidectomy procedure?
  3. How long is the recovery period after adenoidectomy surgery?
  4. What type of anesthesia will be used during the procedure?
  5. Will there be any restrictions on diet or activities following the surgery?
  6. How will pain and discomfort be managed after the surgery?
  7. Are there any potential long-term effects of undergoing an adenoidectomy?
  8. What is the success rate of adenoidectomy in relieving symptoms such as difficulty breathing or frequent infections?
  9. Are there any alternative treatment options available for my condition?
  10. How many adenoidectomy procedures have you performed, and what is your experience with this type of surgery?

Reference

Authors: Wang Z, Wang X, Yang Y, He X, Jia W, Yao X, Sheng X, Jiao H. Journal: J Clin Anesth. 2025 Jun;104:111851. doi: 10.1016/j.jclinane.2025.111851. Epub 2025 May 2. PMID: 40318514