Published online Feb 28, 2017. doi: 10.5319/wjo.v7.i1.1
Revised: January 10, 2017
Accepted: January 25, 2017
Article in press
Published online: February 28, 2017
To assess the feasibility and parental acceptance of diagnostic microlaryngobronchoscopy (MLB) as day case surgery.
A prospective study was performed over a 26 mo period at a tertiary paediatric ENT centre. Patients were selected in clinic using set criteria. All MLBs were performed using a standardised anaesthetic protocol and patients monitored post-operatively. Six weeks following surgery, parents underwent questionnaire surveys.
Ninety-four out of 101 MLBs was successfully performed as day case surgery over the set period. Seven patients required an overnight stay for further observation. Fifty-seven parents took part in the questionnaire of which 68.4% were highly satisfied with same day discharge.
MLB is feasible, safe and acceptable as day case surgery in carefully selected patients.
Core tip: Day case surgery is increasingly common and cost effective. Paediatric microlaryngobronchoscopy is feasible, safe and an acceptable day case procedure in selected patients. Successful day case surgery relies on careful selection of patients in pre-assessment and outpatient clinic. Out of 101 consecutive microlaryngobronchoscopies performed at a tertiary centre, 94 (93.1%) were discharged on the same day. Most parents (68.4%) were highly satisfied with same day discharge. It is essential that time is spent explaining the general anaesthetic procedure and recovery to reduce anxiety and improve satisfaction of day case surgery with parents.