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Sleep-disordered breathing (SDB): Refers to a continuum of obstructive disorders ranging in severity from primary snoring to obstructive sleep apnea (OSA). Obstructive Sleep Apnea (OSA): Partial or complete repetitive obstructions of the upper airway during sleep which are associated with heavy, chronic snoring. Tonsillectomy: Surgical procedure to remove the tonsils bilaterally. Adenoidectomy: Surgical removal of enlarged lymphoid tissue (adenoids) from the nasopharynx. McGill Oximetry Score (MOS): A 4-level severity scoring system ranking children according to overnight oximetry results. It is based on the number and the depth of desaturation events (normal to severely abnormal, categories 1–4).
DEFINITION OF A LARYNGECTOMY A total laryngectomy is the complete surgical removal of the larynx (voice box). In this procedure, the windpipe is brought up to the skin at the neck and a permanent stoma is created for the patient to breathe. The patient no longer has any upper airway and is solely breathing through their laryngectomy stoma site on their neck. DEFINITION OF A TRACHEOESOPHAGEAL PUNCTURE [TEP] A TEP is a small surgical puncture that is created through the back wall of the trachea into the esophagus. This puncture creates a connection between the trachea and the esophagus. A TEP is created for voice rehabilitation where a one-way valve prosthesis will be inserted into this puncture site and will allow the patient to produce speech. However, immediately after surgery a non-rigid foley catheter will be inserted into the TEP which will remain there for a minimum of 1 week postoperatively. This non-rigid foley catheter will keep the TEP open so that a prosthesis [VALVE] can be inserted at a later time. This non-rigid foley catheter will also provide a method of feeding for the patient immediately postoperatively. If the non-rigid foley catheter or prosthesis falls out of the TEP it must be reinserted immediately as the puncture site can begin to close within an hour or less. If the puncture site closes the patient will have to return to the operating room so that another TEP can be created.
Irrigate the eye with a specific solution using an irrigation bulb, syringe or infusion system To irrigate the eye with a Morgan lens, refer to OCP Irrigating the eye with a Morgan lens.
Measurement of the total serum bilirubin (TSB) or transcutaneous bilubirinemia (TcB) in newborns via capillary or venous blood collection or transcutaneously.
The purpose of this clinical procedure is to describe the appropriate technique to collect nasopharyngeal specimens in neonates and children.