Featured Research

from universities, journals, and other organizations

Children exposed to secondhand tobacco or cooking smoke have very high rates of pain, complications after tonsillectomy

Date:
June 1, 2014
Source:
ESA (European Society of Anaesthesiology)
Summary:
Children exposed to indoor coal-burning stoves and/or second-hand tobacco smoke are much more likely to suffer postoperative complications and excessive pain after tonsillectomies, research shows. Almost half of the world's population uses solid fuel including biomass (wood, crop residues, and animal dung) or coal for heating and cooking. Many stoves generate and release pollutants into household air including carbon monoxide.

New research presented at this year's Euroanaesthesia meeting in Stockholm shows that children exposed to indoor coal-burning stoves and/or second-hand tobacco smoke are much more likely to suffer postoperative complications and excessive pain after tonsillectomies. The research is by Professor Daniel Sessler, Cleveland Clinic, Cleveland, Ohio, USA and Dr Onur Koyuncu, Mustafa Kemal University, Hatay, Turkey, and colleagues.

Related Articles


Almost half of the world's population uses solid fuel including biomass (wood, crop residues, and animal dung) or coal for heating and cooking. Because stoves are usually centrally positioned in homes and often the only source of heat, families tend to congregate around them and sleep nearby. Many stoves generate and release pollutants into household air including carbon monoxide. Children are also exposed to carbon monoxide via second-hand tobacco smoke, with estimates suggesting 40-70% of children are exposed worldwide.

Exposure to carbon monoxide results in carboxyhaemoglobin, which may provoke postoperative complications. Elevated carboxyhaemoglobin concentrations may also increase pain sensitivity. The investigators therefore tested the primary hypothesis that children with high preoperative carboxyhaemoglobin concentrations have more postoperative complications and pain after tonsillectomies. Secondarily they tested the hypothesis that high carboxyhaemoglobin concentrations are associated with more pain and painkiller use.

100 Turkish children scheduled for elective tonsillectomy were divided into low and high carbon monoxide exposure groups: carboxyhaemoglobin ≤3 or ≥4 g/dl. The primary outcome was complications during the seven days after surgery which included bronchospasm, laryngospasm, persistent coughing, desaturation (low blood oxygen), the need for re-intubation, low blood pressure, postoperative bleeding, and reoperation. Pain was evaluated with Wong-Baker Faces pain scales, and supplemental use of the painkiller tramadol was recorded for four hours postoperatively.

There were 36 patients in the low exposure group carboxyhemoglobin [mean 1.8 g/dl], and 64 patients were in the high exposure group [mean 6.4 g/dl]. Indoor coal-burning stoves were reported more often by families of the high than low carboxyhemoglobin children (89% versus 72%). Second-hand cigarette smoke exposure was reported by 54% of the families with children with high carboxyhaemoglobin, but only by 24% of the families of children with low carboxyhaemoglobin .

Complications were more common in patients with high carboxyhaemoglobin (47% versus 14% in the low group), with most occurring in the postanaesthesia care unit. Pain scores in the postanaesthesia care unit and one hour after surgery were significantly lower in the low exposure group. Similarly, tramadol use was lower in the low-exposure group at both 4 hours (3.5 vs. 6.0 mg) and 24 hours (3.5 vs. 6.0 mg).

The authors conclude: "Children exposed to substantial environmental carbon monoxide have more complications and more pain after general anaesthesia than less exposed children."


Story Source:

The above story is based on materials provided by ESA (European Society of Anaesthesiology). Note: Materials may be edited for content and length.


Cite This Page:

ESA (European Society of Anaesthesiology). "Children exposed to secondhand tobacco or cooking smoke have very high rates of pain, complications after tonsillectomy." ScienceDaily. ScienceDaily, 1 June 2014. <www.sciencedaily.com/releases/2014/06/140601202031.htm>.
ESA (European Society of Anaesthesiology). (2014, June 1). Children exposed to secondhand tobacco or cooking smoke have very high rates of pain, complications after tonsillectomy. ScienceDaily. Retrieved December 22, 2014 from www.sciencedaily.com/releases/2014/06/140601202031.htm
ESA (European Society of Anaesthesiology). "Children exposed to secondhand tobacco or cooking smoke have very high rates of pain, complications after tonsillectomy." ScienceDaily. www.sciencedaily.com/releases/2014/06/140601202031.htm (accessed December 22, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Monday, December 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Touch-Free Smart Phone Empowers Mobility-Impaired

Touch-Free Smart Phone Empowers Mobility-Impaired

Reuters - Innovations Video Online (Dec. 21, 2014) A touch-free phone developed in Israel enables the mobility-impaired to operate smart phones with just a movement of the head. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Earthworms Provide Cancer-Fighting Bacteria

Earthworms Provide Cancer-Fighting Bacteria

Reuters - Innovations Video Online (Dec. 21, 2014) Polish scientists isolate bacteria from earthworm intestines which they say may be used in antibiotics and cancer treatments. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Existing Chemical Compounds Could Revive Failing Antibiotics, Says Danish Scientist

Existing Chemical Compounds Could Revive Failing Antibiotics, Says Danish Scientist

Reuters - Innovations Video Online (Dec. 21, 2014) A team of scientists led by Danish chemist Jorn Christensen says they have isolated two chemical compounds within an existing antipsychotic medication that could be used to help a range of failing antibiotics work against killer bacterial infections, such as Tuberculosis. Jim Drury went to meet him. Video provided by Reuters
Powered by NewsLook.com
Hugging It Out Could Help You Ward Off A Cold

Hugging It Out Could Help You Ward Off A Cold

Newsy (Dec. 21, 2014) Carnegie Mellon researchers found frequent hugs can help people avoid stress-related illnesses. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins