Pediatric Obstructive Sleep Apnea Syndrome (OSAS) is common, often due to enlarged tonsils/adenoids. Tonsillectomy/adenoidectomy frequently performed under GA with tracheal intubation due to the age of children. Risk of hypoxemia and respiratory complications during the peri-extubation period is high.
Age 2-10 years
American Society of Anesthesiologists physical status classification (ASA) I - II
Patients scheduled for ENT procedures involving tonsillectomy, adenoidectomy or adenotonsillectomy
• Patient legal guardian refusal to participate in the study.
Children with cardio-pulmonary disease
Parallel
positioning during peri-extubation
Procedure/Surgeryinvestigate and compare whether the use of lateral position or semi-prone position impact on the occurrence of choking, agitation, decreased pulse oxygen saturation - (SpO2) and the oral and nasal secretions during the awakening period.
Incidence of hypoxemic events in the peri-extubation period
Hypoxemic events which last \> 2 seconds after extubation will be recorded when Spo2 is less than 94% on room air.
Incidence of respiratory complications
Incidence of respiratory complications such as choking, laryngospasm, posterior tongue drop.
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