T&A Triage with or without Preoperative Polysomnography Clinical Pathway – Inpatient and Outpatient Specialty – Determine Disposition

T&A Triage with or without Preoperative Polysomnography Clinical Pathway – Inpatient and Outpatient Specialty Care

Determine Disposition

Post-Operative Location Criteria
Direct Admit to PICU
  • Age < 1 yr or < 2 yrs and history of < 32 wks premature
  • Comorbid conditions
    • Cardiac
      • Pulmonary hypertension or requires cardiac/C4 anesthesia
    • Respiratory
      • Intubation or acute mechanical ventilation via tracheostomy tube, known difficult/critical airway, baseline home ventilator, active wheezing or active cold symptoms
      • FiO2 > 40% by mask
      • Continuous NP airway needed
Inpatient Medical/ Surgical Unit
  • FiO2 < 40% by mask
  • Obesity (BMI > 35)
  • In phase II recovery
PICU or 8 South
  • BiPAP/CPAP dependence or oxygen requirement
    • If on baseline NIPPV, may be appropriate for 8 South
    • Admit to PICU if there is surgical preference not to place on baseline support or if the NIPPV support is above baseline
  • Disposition determined by ENT, ARC, and Pulmonary