Abstract
A pilot study was undertaken to assess tonsillectomy as a day case procedure. The post-operative morbidity following this study was entirely anaesthetic related. A protocol was written to standardise the anaesthetic, paying particular attention to pain, nausea and vomiting. The pilot study admission rate of 65% fell to <3% immediately the new protocol was introduced. To date, 268 tonsillectomy procedures following this protocol have been undertaken as day cases with eight patients admitted directly from the day surgery unit and only one from home. All cases admitted were treated conservatively. This report summarises the policy, practice and outcome of day case tonsillectomy in children carried out since January 1994. The study has been undertaken jointly by the ENT Department and the Day Surgery Unit at Salisbury District Hospital.
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