How is the patient premedicated for adenotonsillectomy?
The goals of premedication are anxiolysis, analgesia, and drying of secretions.
Antisialogogues are valuable for patients undergoing adenotonsillectomy. A dry airway assists assessment and manipulation by both anesthesiologist and surgeon. Patients with obstructive sleep apnea should be carefully premedicated. Oral midazolam, a common premedicant used in pediatrics, may significantly compromise airway dynamics in the child with obstructive sleep apnea.