T/SZSMDA 006-2023 Low-temperature plasma radiofrequency ablation for the treatment of tonsillar and adenoidal hypertrophy in children: Operational guidelines

Scope

Scope: Applicable subjects: Children under the age of 16 who meet the indications for adenoidectomy and/or tonsillectomy and undergo low-temperature plasma radiofrequency ablation surgery. Implementing population: Clinicians, nurses, technicians, and relevant teaching and research staff engaged in the operation of this technology in Shenzhen City; Main technical content: This standard will establish technical norms for five aspects of pediatric tonsil and adenoid surgery assisted by low-temperature plasma: preoperative assessment, intraoperative procedures, postoperative care, follow-up, and day surgery. Preoperative assessment: Clarify the indications and contraindications for tonsil and adenoid surgery in children. Detailed preoperative assessment standards will be established in four directions: symptom evaluation, physical examination, routine preoperative examination, and specialized examination. At the same time, clarify the standards for anesthesia assessment. Intraoperative procedures: Standardize five aspects: equipment coordination, surgical operation, other personnel coordination, intraoperative complication management, and surgery completion. Equipment coordination standards include instrument selection, blade head selection, instrument operation, and water supply methods; surgical operation includes patient positioning, surgical field exposure, and specific standards for surgical method steps; other personnel coordination includes the standards that assistants, on-table and off-table nurses, and anesthesiologists should meet to ensure efficient and smooth surgery. Postoperative care: Standardize four aspects: anesthesia recovery, postoperative observation, postoperative medication, and postoperative complication management. Anesthesia recovery includes patient awakening time, status, and indicators for leaving the recovery room; postoperative observation includes nursing observation standards for respiration, pulse, oxygen saturation, body tem

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