Identification of Oxygen Desaturation in Patients Admitted Following Adenotonsillectomy'

Sleep apnea has become exceedingly recognized in children. The primary treatment for sleep apnea in children is surgery in the form of adenotonsillectomy. The majority of children that undergo adenotonsillectomy are discharged following their immediate recovery in the post anesthesia care unit.

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Key information

Conditions

Obstructive Sleep Apnea Apnea Dyssomnias Nervous System Diseases Respiration Disorders Respiratory Tract Diseases Sleep Apnea Syndromes Sleep Apnea, Obstructive Sleep Disorders, Intrinsic Sleep Wake Disorders

Age range

1 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Texas Childrens Hospital

Houston, Texas, 77030, United States

About this study

Based on national and international consensus statements, institutional practice has developed at Texas Children's Hospital as to which patients require overnight observation following adenotonsillectomy for continuous pulse oximeter monitoring to assess for desaturation events. There is insufficient evidence to suggest which patients need to stay for pulse oximeter monitoring which has led to many patients being admitted unnecessarily. Therefore, the aim of this study is to capture data prospectively on pulse oximetry in children admitted overnight following adenotonsillectomy to identify risk factors for post operative oxygen desaturation.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Adenotonsillectomy surgery
Patient meeting institutional guidelines for postoperative admission (e.g, admitted following surgery from recovery room).

Exclusion criteria

Parental refusal
Airway Surgery in addition to adenotonsillectomy
Patient psychological limitations, precluding wearing device (e.g. autism).
Patient not meeting institutional guidelines for postoperative admission (e.g, discharged following surgery from recovery room).

Treatment and study plan

Continuous Pulse Oximetry

Diagnostic Test

The patient will wear a continuous pulse oximeter after their adenotonsillectomy surgery until the following morning. This will record continuous pulse oximetry data to allow for analysis of any desaturations in the first night following the surgery. This study is observational only and this data will not be used to impact any treatment

Primary outcomes

Continuous pulse oximetry following adenotonsillectomy

Time frame: 1 day

Use of a continuous capture pulse oximeter to identify oxygen desaturations postoperatively

Sponsors and collaborators

Lead sponsor

Baylor College of Medicine

Other

Registry information

Important dates

Study start: 2024
Primary completion: 2025
Study completion: 2025
First posted: Jul 22, 2024
Registry last updated: Oct 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed