Teleconsultation vs Face-to-Face Evaluation for Perioperative Respiratory Events in Pediatric Adenotonsillectomy

Summary

The goal of this clinical trial is to assess whether preoperative anesthesia teleconsultation is at least equivalent to in-person consultation in preventing perioperative respiratory adverse events (such temporary reduction in oxygen levels in the blood) in the operating room and in the first 24 hours after the surgery in pediatric adenotonsillectomy. Researchers will compare the teleconsultation to in-person consultation to see if there is a difference in the frequency of respiratory adverse events in the operating room and during the first 24 hours after adenotonsillectomy. Participants will: \- undergo a traditional in-person anesthesiology consultation scheduled at the hospital or a online preoperative anesthesiology teleconsultation.

Eligibility

Inclusion Criteria:

* Pediatric patients (up to 16 years of age) undergoing elective tonsillectomy or adenotonsillectomy
* ASA (American Society of Anesthesiologists) physical status I to III,
* Patients who have a parent or legal guardian able and willing to provide informed consent.

Exclusion Criteria:

* Parent or guardian unable or unwilling to provide informed consent,
* Refusal to participate by parent/guardian,
* Patients with contraindications to general anesthesia,
* Known allergy to any drugs used in the anesthetic protocol.
* Potential difficult airway,
* Poorly controlled chronic illness (e.g. asthma),
* Cardiac disease ,
* Genetic disorder,
* Haemoglobinopathy, anemia or clotting problem,
* Complex physical disability,
* Request from the patient or carer

Conditions2

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