Perioperative Dexamethasone Administration and Risk of Bleeding Following Tonsillectomy in Children

Does Ibuprofen Increase Bleed Risk for Pediatric Tonsillectomy?

“…Further evidence is required to determine potential mechanisms and clinical significance associated with increased risk of PTH. Finally, consistent with most prior studies, antibiotic and steroid use was not associated with risk of PTH 50–52 …”

Does Ibuprofen Increase Bleed Risk for Pediatric Tonsillectomy?

“…Further evidence is required to determine potential mechanisms and clinical significance associated with increased risk of PTH. Finally, consistent with most prior studies, antibiotic and steroid use was not associated with risk of PTH 50–52 …”

Gender-specific risk factors in post-tonsillectomy hemorrhage

“…This study investigated the different risk factors for PTH after TE and abscess-TE. In accordance with the literature, no significant relationship was found between PTH and smoking [34], regular alcohol consumption, diabetes, hypertension [35], antihypertensive therapy, postoperative pain medication with NSAIDs (COX1 inhibitor) [8,36] or opioids [8], application of glucocorticoids [8,37], therapy with antibiotics [10,38], duration of hospital stay [24,39] and surgeon experience [15]. The only significant risk factor for PTH was being male, which is in line with other research groups [6][7][8][9][10][11][12][13], although others did not find a significant correlation [14][15][16][17][18].…”

A randomised controlled trial of placebo, droperidol or ondansetron to prevent nausea and vomiting after tonsillectomy in children receiving dexamethasone

“…The rate of haemorrhage in our trial was lower than previously reported , despite our routine use of dexamethasone and non‐steroidal anti‐inflammatory drugs. Recent evidence suggests that dexamethasone does not increase bleeding after tonsillectomy .…”

“…The rate of haemorrhage in our trial was lower than previously reported , despite our routine use of dexamethasone and non‐steroidal anti‐inflammatory drugs. Recent evidence suggests that dexamethasone does not increase bleeding after tonsillectomy . The seniority and expertise of the surgeons in our study, combined with the standardisation of the surgical procedure and its short duration, may have contributed to the low rate of haemorrhage .…”

Does Ibuprofen Increase Bleed Risk for Pediatric Tonsillectomy?

“…Further evidence is required to determine potential mechanisms and clinical significance associated with increased risk of PTH. Finally, consistent with most prior studies, antibiotic and steroid use was not associated with risk of PTH 50–52 …”

Gender-specific risk factors in post-tonsillectomy hemorrhage

“…This study investigated the different risk factors for PTH after TE and abscess-TE. In accordance with the literature, no significant relationship was found between PTH and smoking [34], regular alcohol consumption, diabetes, hypertension [35], antihypertensive therapy, postoperative pain medication with NSAIDs (COX1 inhibitor) [8,36] or opioids [8], application of glucocorticoids [8,37], therapy with antibiotics [10,38], duration of hospital stay [24,39] and surgeon experience [15]. The only significant risk factor for PTH was being male, which is in line with other research groups [6][7][8][9][10][11][12][13], although others did not find a significant correlation [14][15][16][17][18].…”

A randomised controlled trial of placebo, droperidol or ondansetron to prevent nausea and vomiting after tonsillectomy in children receiving dexamethasone

“…The rate of haemorrhage in our trial was lower than previously reported , despite our routine use of dexamethasone and non‐steroidal anti‐inflammatory drugs. Recent evidence suggests that dexamethasone does not increase bleeding after tonsillectomy .…”

“…The rate of haemorrhage in our trial was lower than previously reported , despite our routine use of dexamethasone and non‐steroidal anti‐inflammatory drugs. Recent evidence suggests that dexamethasone does not increase bleeding after tonsillectomy . The seniority and expertise of the surgeons in our study, combined with the standardisation of the surgical procedure and its short duration, may have contributed to the low rate of haemorrhage .…”

Does Ibuprofen Increase Bleed Risk for Pediatric Tonsillectomy?

“…Further evidence is required to determine potential mechanisms and clinical significance associated with increased risk of PTH. Finally, consistent with most prior studies, antibiotic and steroid use was not associated with risk of PTH 50–52 …”

Gender-specific risk factors in post-tonsillectomy hemorrhage

“…This study investigated the different risk factors for PTH after TE and abscess-TE. In accordance with the literature, no significant relationship was found between PTH and smoking [34], regular alcohol consumption, diabetes, hypertension [35], antihypertensive therapy, postoperative pain medication with NSAIDs (COX1 inhibitor) [8,36] or opioids [8], application of glucocorticoids [8,37], therapy with antibiotics [10,38], duration of hospital stay [24,39] and surgeon experience [15]. The only significant risk factor for PTH was being male, which is in line with other research groups [6][7][8][9][10][11][12][13], although others did not find a significant correlation [14][15][16][17][18].…”

A randomised controlled trial of placebo, droperidol or ondansetron to prevent nausea and vomiting after tonsillectomy in children receiving dexamethasone

“…The rate of haemorrhage in our trial was lower than previously reported , despite our routine use of dexamethasone and non‐steroidal anti‐inflammatory drugs. Recent evidence suggests that dexamethasone does not increase bleeding after tonsillectomy .…”

“…The rate of haemorrhage in our trial was lower than previously reported , despite our routine use of dexamethasone and non‐steroidal anti‐inflammatory drugs. Recent evidence suggests that dexamethasone does not increase bleeding after tonsillectomy . The seniority and expertise of the surgeons in our study, combined with the standardisation of the surgical procedure and its short duration, may have contributed to the low rate of haemorrhage .…”