Lateral Positioning for Extubation After Adenotonsillectomy

Launched by SICHUAN UNIVERSITY · Jul 31, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at whether placing children on their side (called lateral positioning) right after removing their tonsils and adenoids helps reduce breathing problems during recovery from anesthesia. These breathing issues, like airway blockage or low oxygen levels, happen quite often in young kids after surgery. While medicines and surgery techniques haven’t fully solved this, changing the child’s position might make it easier for them to breathe and get enough oxygen. However, there isn’t enough strong evidence yet, so this study aims to find out if side positioning really helps.

The trial is for children aged 1 to 6 years who are scheduled to have their tonsils and adenoids removed under general anesthesia and are otherwise healthy. Parents will need to agree and give consent for their child to join. Children with heart or lung problems, recent respiratory infections, or other significant health issues won’t be eligible. If participating, families can expect that their child’s position after surgery will be carefully managed to see if it improves breathing and oxygen levels as they wake up. This study is not yet open for enrollment but hopes to provide important information to make recovery safer and more comfortable for kids after these common surgeries.

Gender

ALL

Eligibility criteria

• Inclusion criteria:
• • 1. Subjects aged 1-6 years old without gender limit.
• • 2. Scheduled for an ambulatory adenotonsillectomy under general anesthesia.
• • 3. American Society of Anesthesiologists (ASA) classification grade I or II.
• • 4. Informed consent obtained from the patients' parents or legal guardians, who have expressed willingness to cooperate.
• Exclusion criteria:
• • 1. Presence of concomitant cardiac or pulmonary dysfunction or other significant systemic comorbidities.
• • 2. History of difficult airway management or congenital/acquired structural anomalies of the airway.
• • 3. Active respiratory tract infection within 30 days preceding surgery.
• • 4. Preoperative neurological disorders or developmental abnormalities.
• • 5. Intraoperative occurrence of major complications necessitating deviation from the planned anesthesia protocol or surgical procedure.