TY - JOUR T1 - Frequency of ICU monitoring and respiratory complications after adenotonsilectomy in OSA children JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P1075 AU - Silke A.T. Weber AU - Renato O. Martins AU - Erico Moreira AU - Jose Roberto Fioretto Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P1075.abstract N2 - Introduction: Adenotonsilectomy(AT) is considered treatment of choice for obstructive breathing disorders (OBD) in children. Besides better diagnosis and earlier treatment of OSA, respiratory complications at the immediate posoperative period are described for several risk groups.Aim: to evaluate the frequency of necessity of posoperative monitoring in an intensive care unit(ICU) and respiratory complications in OBD children submitted to adenotonsillectomy in a university hospital.Methods: Retrospective study, analyzing patient's charts submitted to AT due to OBD in a university hospital in Brazil, during the period 2006 to 2010. We included children of both genders, aged 2 to 12 years. Patient's data included obesity, age at surgery, severity of ODB and presence of respiratory comorbidity (asthma). We analysed the frequency of ICU monitoring and the respiratory complications in the ICU during 24 hours after AT.Results: Out of 811 AT, 164 realized polysomnography prior surgery. 47 children, 21 girls, needed monitoring in ICU, due to severe oxygen dessaturation (<85%), severe OSA (IA >10) or obesity. Six children were younger than 2 years. Eleven children (24%) suffered major complications at ICU, as acute lung oedeme in two patients, intubation for longer than 24 hours in one, bronchospasms in three, stridor in six.Conclusions: Our study revealed a high risk for respiratory complications in OSA children. Major risk factors were age < 3 years old, asthma and obesity. Indication for respiratory monitoring/polysomnography for suspected OSA children prior to adenotonsillectoumy should be better discussed and normatized. ER -