Friday April 18, 2014

Dr. Logan, Loucks & Taylor: 2841 New Hartford Road  ~ Owensboro, KY 42303 ~ (270) 691-6161 ~ Hours: Mon-Fri 8:30 am - 5:00 pm

Dr. Mumford: 922 Triplett Street ~ Owensboro, KY 42303 ~ (270) 926-4175 ~ Hours: Mon-Fri 8:30 am - 5:00 pm


Pressure Equalization Tubes (PE Tubes)

PE tube placement is the most common surgery performed in the United States. It is a procedure where a small plastic or metal tube is placed within the tympanic membrane to equalize the pressure behind the eardrum and to allow for adequate drainage of any fluid within the middle ear space. PE tubes have been shown to decrease the frequency of ear infections while not compromising hearing function. The PE tubes last between six months to a year and will usually fall out spontaneously. Once the tubes become displaced they will not be replaced immediately. If the child develops symptoms of repeated infections or fluid build up after the tubes have become dislodged, at some point we may need to consider replacement of the tubes.

The procedure will last approximately ten to 15 minutes. In general, you should expect a child to return to normal within a few hours after surgery.

Most Common Indications for Placement of PE tubes:
1. Recurrent ear infections: greater than five episodes of infection in any 12 month period of time or greater than three infections per year for two or more years in a row.
2. Chronic ear infections that are not responding to appropriate courses of antibiotics.
3. Chronic serous otitis (fluid behind the eardrum) that has not responded to medical intervention.
4. Hearing loss related to longstanding serous effusion (fluid behind the eardrum).

Complications from PE Tube Placement:
1. Infection at any time following surgery requiring further medication or possibly removal of the tubes.
2. Frequent drainage of the ears due to a foreign body reaction.
3. Plugging of the tubes causing them to lose their effectiveness.
4. Persistent perforation (hole) in the eardrum.

Pediatric Tour:
A pediatric tour is available for pediatric patients to ease anxiety, increase the understanding of the surgical process, and what to expect the day of surgery. To schedule a tour please call Outpatient Surgery at 688-2500.

Postoperative Instructions:
• It is very common for a child to be irritable for approximately one hour after the surgery due to anesthesia.
• Limit activity until fully recovered from anesthesia, usually 24 hours.
• Tylenol or Advil may be given as necessary following the surgery.
• It is common to have drainage and sometime even bloody drainage from the ears after the surgery. It is important to use eardrops given to you as prescribed.
• Many children experience immediate improvement of their hearing after placement of tubes. Other times it may take weeks.
• A low grade fever (up to 101°) is common following anesthesia..
• Some physicians recommend protecting the ears from water exposure as long as the tubes are in place.
• Antibiotics may be given if there is an infection found at the time of surgery.

If an adenoidectomy is performed:
• A sore throat and/or sore neck is common and may last 3-7 days.
• Bleeding from the mouth or nose is uncommon but usually resolves with drinking cold water.
• A soft diet is recommended the first week after surgery.
• Activities should be limited for the first week following surgery.

At Home:
• Follow your physician’s orders and discharge instructions given to you by the nurse.
• Call your physician if you experience prolonged nausea and vomiting, fever greater than 101.5°or for any alarming symptoms.
• Take medications as prescribed.
• Make a follow-up appointment with your surgeon.
• Return to activity as instructed by your physician.
• DO NOT make any important or critical decisions immediately after your surgery.
• DO NOT drive or operate any hazardous machinery for 24 hours.

Financial Responsibility:
Insurance policies represent agreements between you and your insurance provider. As a courtesy, OMHS will file your insurance claims for you and allow a reasonable time for payment. You are responsible for payment of services not authorized by your insurance provider.

Always Bring With You:
• Doctor’s orders or papers given to you by your doctor, including this brochure.
• Medication bottles or a complete medication list with dosages and times. This includes prescription and over-the-counter medications such as aspirin, Tylenol, ibuprofen, vitamins, herbs and diet pills.
• Insurance cards.
• Any recent EKG, X-Ray or laboratory results you may have already had performed. This may prevent repeat testing.
• A copy of your Living Will, Medical Power of Attorney documents or guardianship papers, if applicable.

Before Surgery:
• Call your physician if you become ill (fever, chest congestion, flu) or if you can’t keep your scheduled surgery appointment.
• Tell your doctor if you have any allergies, including latex.
• Tell your doctor if you are taking any blood thinners, diabetes medications or diet pills.
• Stop taking any herbal medications or diet pills.
• Stop smoking.
• Notify your insurance company of your surgical plans even if your physician’s office has done so.
• If your doctor discussed donating your own or your family member’s blood before surgery, call Western Kentucky Regional Blood Center at 684-9296.
• If it is not possible to visit the OMHS Pre-admission Center, call their office at 270-688-1125 the day before your surgery.

The Night Before Surgery - DO NOT:
• DO NOT eat or drink anything after midnight, unless instructed by your physician. This includes water, coffee, gum and mints.
• DO NOT drink alcoholic beverages for 24 hours before surgery.
• DO NOT eat spicy or heavy foods for dinner the night before your surgery.

On the day of Surgery - DO:
• Take only those medications (with a few sips of water) as instructed by your physician and/or preadmission nurse.
• Take a complete bath or shower.
• Wear loose, comfortable clothing.
• Bring your cases for contact lenses, glasses or dentures to be stored during your surgery.
• Remove your contact lenses prior to surgery.
• Have a responsible adult available to drive you home and remain with you for 24 hours following the surgery. The medications you may receive will make it unsafe for you to drive a car, walk home or travel by public transportation.
• Please bring a responsible adult with you but limit visitors. Outpatient Surgery limits visitors to two per patient. Until the nurse has prepared you for surgery only one person will be allowed.
• A parent or guardian must accompany any patient 17 years of age or younger.
• Arrive 2 hours before your scheduled surgery time, unless otherwise instructed by your physician or Pre-Admission nurse. Go directly to the Outpatient Surgery Department on the 2nd floor.
• Bring your C-PAP machine to the hospital if you use one during sleep.
• Bring currently used inhalers with you.
• Bring any information provided by the surgeon or the preadmission nurse.

On the day of Surgery - DO NOT:
• DO NOT smoke or at least reduce the number of cigarettes you smoke in the 12 hours prior to urgery. Smoking can increase your risk of complications and the amount of pain you have after surgery. Smoking cessation is recommended 6 weeks before surgery for maximum benefits/risk reduction.
• DO NOT wear make-up, jewelry, body piercings or contact lenses.
• DO NOT wear nail polish or artificial nails.
• DO NOT bring valuables.
• DO NOT eat or drink.
• DO NOT bring children under the age of 12 with you.

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