Prospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Otorhinolaryngol. Feb 28, 2017; 7(1): 1-4
Published online Feb 28, 2017. doi: 10.5319/wjo.v7.i1.1
Day case paediatric microlaryngobronchosocopy: A prospective study
Arwa El-Sheemy, Jagdeep Singh Virk, Jay Ahmed, Eleni Nikolopoulou, Sahar Kazmi, Yogesh Bajaj
Arwa El-Sheemy, Jagdeep Singh Virk, Jay Ahmed, Eleni Nikolopoulou, Sahar Kazmi, Yogesh Bajaj, ENT Department, Barts Childrens and Royal London Hospital, London E11BB, United Kingdom
Author contributions: El-Sheemy A analysed and interpreted the data alongside with drafting the manuscript; Virk JS and Ahmed J were involved in analysing the data and redrafting the paper; Nikolopoulu E and Kazmi S took part in data collection; Bajaj Y designed the study and is the lead clinician.
Institutional review board statement: No trial registration or ethical approval was required. The study was registered in the hospital clinical governance system. No further approvals were required as this was our standard practice for all patients.
Informed consent statement: All study participants’ guardians provided informed consent prior to study enrolment.
Conflict-of-interest statement: None.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Arwa El-Sheemy, ENT Department, Barts Childrens and Royal London Hospital, Whitechapel Road, London E11BB, United Kingdom. arwa.elsheemy@bartshealth.nhs.uk
Telephone: +44-7824-667504 Fax: +44-2034-553209
Received: December 5, 2016
Peer-review started: December 6, 2016
First decision: January 2, 2017
Revised: January 10, 2017
Accepted: January 25, 2017
Article in press: January 27, 2017
Published online: February 28, 2017
Abstract
AIM

To assess the feasibility and parental acceptance of diagnostic microlaryngobronchoscopy (MLB) as day case surgery.

METHODS

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.

RESULTS

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.

CONCLUSION

MLB is feasible, safe and acceptable as day case surgery in carefully selected patients.

Keywords: Child, Laryngoscopy, Anaesthetics, General, Microlaryngoscopy, Ambulatory surgical procedure, Microlaryngobronchoscopy, Bronchoscopy

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.