Paediatric Obstructive Sleep Apnoea

Question 1

When do tonsillar bleeds usually occur and why. also, what are the signs of haemorrhage after tonsillectomy

Answer 1

Within 6 hours of surgery

Not always immediately as often significant amounts of blood is swallowed

Signs of bleeding
1. Tachycardia
2. Excessive swallowing
3. Pallor and increased CRT
4. Restlessness, sweating
5. Airway obstruction
–> Hypotension is a late sign

Question 2

What are the major risk factors which predispose to paediatric obstructive sleep apnoea syndrome

Answer 2

1. Obesity
2. Adenotonsillar hypertrophy