Perioperative Dexamethasone Administration and Risk of Bleeding Following Tonsillectomy in Children
نویسندگان
چکیده
منابع مشابه
Perioperative dexamethasone administration and risk of bleeding following tonsillectomy in children: a randomized controlled trial.
CONTEXT Corticosteroids are commonly given to children undergoing tonsillectomy to reduce postoperative nausea and vomiting; however, they might increase the risk of perioperative and postoperative hemorrhage. OBJECTIVE To determine the effect of dexamethasone on bleeding following tonsillectomy in children. DESIGN, SETTING, AND PATIENTS A multicenter, prospective, randomized, double-blind,...
متن کاملDexamethasone administration and postoperative bleeding risk in children undergoing tonsillectomy.
OBJECTIVE To assess whether administration of dexamethasone during tonsillectomy is associated with a dose-dependent increased rate of postoperative tonsillectomy hemorrhage. DESIGN Retrospective review of 2788 children and adolescents who underwent tonsillectomy with or without adenoidectomy for sleep-disordered breathing or infectious tonsillitis and received perioperative dexamethasone bet...
متن کاملPostoperative Bleeding and Associated Utilization following Tonsillectomy in Children.
Objective To assess posttonsillectomy hemorrhage (PTH), associated nonoperative readmissions/revisits, and reoperations in children. Data Sources MEDLINE, EMBASE, and the Cochrane Library. Review Methods Two investigators independently screened studies against predetermined criteria and extracted key data. Investigators independently assessed study risk of bias and the strength of the evidence ...
متن کاملPerioperative dexamethasone administration in tonsillectomy patients: A three-cycle audit showing improvement using printed theatre lists.
Dexamethasone administration prior to tonsillectomy has been shown to reduce morbidity and is part of SIGN guideline 117. We conducted a three-cycle audit of 149 patients to ascertain how well guidelines were being met and introduce a sustainable method to improve compliance. A 3-month audit was conducted to ascertain how many tonsillectomy patients didn't receive pre-operative dexamethasone. E...
متن کاملDexamethasone and risk of nausea and vomiting and postoperative bleeding after tonsillectomy in children: a randomized trial.
CONTEXT Dexamethasone is widely used to prevent postoperative nausea and vomiting (PONV) in pediatric tonsillectomy. OBJECTIVE To assess whether dexamethasone dose-dependently reduces the risk of PONV at 24 hours after tonsillectomy. DESIGN, SETTING, AND PATIENTS Randomized placebo-controlled trial conducted among 215 children undergoing elective tonsillectomy at a major public teaching hos...
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ژورنال
عنوان ژورنال: JAMA
سال: 2012
ISSN: 0098-7484
DOI: 10.1001/2012.jama.11575