Evidence map›Paper›PMID 41321134›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Pediatric Adenoidectomy With Laryngeal Mask Airway in the Minor Procedure Room: A Quality Improvement Project.

Ram Patel, Sami Khoury, Jacob Davidson, Peng You, M Elise Graham, Murad Husein, Raju Poolacherla, Gopakumar Nair, Abhijit Biswas, Catherine Delaney and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ram PatelSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0003-0887-6931
Sami KhouryDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, London Health Sciences Centre, Western University, London, ON, Canada.ORCID 0000-0002-7174-116X
Jacob DavidsonDivision of Pediatric Surgery, Schulich School of Medicine and Dentistry, London Health Sciences Centre, Western University, London, ON, Canada.
Peng YouDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, London Health Sciences Centre, Western University, London, ON, Canada.ORCID 0000-0001-6573-5735
M Elise GrahamDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, London Health Sciences Centre, Western University, London, ON, Canada.
Murad HuseinDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, London Health Sciences Centre, Western University, London, ON, Canada.
Raju PoolacherlaDepartment of Anesthesia and Perioperative Medicine, London Health Sciences Centre, Western University, London, ON, Canada.
Gopakumar NairDepartment of Anesthesia and Perioperative Medicine, London Health Sciences Centre, Western University, London, ON, Canada.
Abhijit BiswasDepartment of Anesthesia and Perioperative Medicine, London Health Sciences Centre, Western University, London, ON, Canada.
Catherine DelaneyChildren's Hospital, London Health Sciences Centre, London, ON, Canada.
Julie E StrychowskyDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, London Health Sciences Centre, Western University, London, ON, Canada.ORCID 0000-0001-5460-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ImportanceExpanding the appropriate use of ambulatory surgical care may improve operating room (OR) efficiency.ObjectiveTo demonstrate that pediatric adenoidectomy with laryngeal mask airway (LMA) for select patients in the minor procedure room (MPR) is comparable in safety but more efficient than OR adenoidectomy in a pilot study of 20 patients from July to November 2023.DesignThe Institute for Healthcare Improvement Model for Improvement guided this quality improvement project. Safety and efficiency outcomes were prospectively collected for adenoidectomies with LMA in the MPR and compared with retrospective data from similar OR cases with LMA or endotracheal intubation (ETT).SettingA single tertiary referral center.ParticipantsPediatric patients who underwent adenoidectomy from July to November 2023.InterventionsThe intervention involved adenoidectomy in the MPR with LMA, as opposed to traditional OR settings.Main Outcome MeasuresThe main outcome measures included safety (perioperative respiratory adverse events, conversion from LMA to ETT), efficiency (length of hospital stay, wait time for surgery), and patient/provider satisfaction.ResultsFinal analysis included 55 patients [20 (36%) MPR, 35 (64%) OR]. In the OR, 16 (46%) patients used LMA, the rest used ETT. The median [interquartile range (IQR)] age was 5.5 (3.7-7.3) years, and 22 (41%) patients were female. No major respiratory adverse events occurred in the MPR compared to 1 (3%) event in the OR. One (5%) MPR patient required conversion from LMA to ETT due to limited surgical access. Time-based measures were superior in the MPR, with median hospital stay 91 minutes shorter (158.0; IQR: 143.0-204.0 vs 249.0; IQR: 210.0-278.0). Patient and provider satisfaction were highly rated in the MPR.ConclusionsPediatric adenoidectomy for select patients in the MPR is a safe and time-efficient alternative to the OR.RelevanceFurther exploration of suitable procedures for the MPR may enhance OR resource allocation.Level of Evidence. 3.

Indexed as

AdenoidectomyAmbulatory Surgical ProceduresLaryngeal MasksOperating RoomsQuality ImprovementChildChild, PreschoolFemaleHumansLength of StayMalePatient SatisfactionPilot ProjectsRetrospective Studiesadenoidectomyminor procedure roompediatricsPS/QIsurgery

Identifiers

PMID41321134
PMCPMC12669486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.