Table 2.

Institutional pediatric AT guidelines^a

Age	Less than 3 years of age for AT
	Less than 2 years of age for adenoidectomy (except for patients with eustachian tube dysfunction, serous otitis, sinusitis as the sole diagnosis)
Sleep study	AHI >10
	Pulse oximetry reading <80%
	ETCO2 > 50 mm Hg
Obesity	BMI >95% (percentile for age)
Craniofacial syndromes	Yes (ie, Downs syndrome, Pierre Robin, etc.)
Comorbid conditions	Asthma (moderate/severe), cystic fibrosis, CHD, diabetes mellitus, and hypotonia, and other significant medical conditions

Abbreviations: AHI, apnea/hypopnea index; AT, adenotonsillectomy; BMI, body mass index; CHD, congenital heart disease; ETCO₂, end‐tidal carbon dioxide.

^aPatients requiring postoperative admission or prolonged observation from reference 16.