Perioperative Intravenous Steroid Treatment and Tonsillectomy

Heatley, Diane G.

doi:10.1001/archotol.127.8.1007

Cited by 11 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[13][14][15] When combined with dexamethasone, ondansetron has been reported to prevent nausea and vomiting almost completely. When used together, these two drugs are relatively free of significant adverse effects.…”

Section: Discussionmentioning

confidence: 99%

Post-operative nausea and vomiting following paediatric day-case tonsillectomy: audit of the Epsom protocol

Robb

Ewah

2011

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Post-operative nausea and vomiting following paediatric day-case tonsillectomy: audit of the Epsom protocol

Robb

Ewah

2011

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“… 18–20 In addition, use of dexamethasone as an antiemetic agent in patients undergoing chemotherapy has been investigated extensively, and a meta‐analysis found that patients receiving the drug had significantly less nausea and vomiting than control subjects both immediately after treatment and subsequently. 21 However, Heatley 22 pointed out that both measured benefits and a lack of benefit of perioperative intravenous administration of steroids after tonsillectomy have been observed.…”

Section: Discussionmentioning

confidence: 99%

Adjuvant Therapies in Children Undergoing Adenotonsillectomy

Thomsen

Gower

2009

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…Ondansetron is a selective 5HT 3 receptor antagonist and a potent anti‐emetic. Dexamethasone has also been shown to reduce postoperative vomiting, but the mechanism of action is not known [19, 20]. The anti‐inflammatory effect of dexamethasone also appears to reduce pain and facilitate increased postoperative fluid intake [21].…”

Section: Discussionmentioning

confidence: 99%

Postoperative pain, nausea and vomiting following paediatric day‐case tonsillectomy

Ewah¹,

Robb²,

Raw

2006

Anaesthesia

View full text Add to dashboard Cite

SummaryMore than 30% of all surgical activity for children in England and Wales is accounted for by routine ENT operations. There is known to be a high incidence of postoperative pain, nausea and vomiting following paediatric tonsillectomy with or without adenoidectomy. This prospective study examined the incidence of these complications in 100 children admitted for routine, elective day-case tonsillectomy, with or without adenoidectomy. The children were anaesthetised in accordance with our standard paediatric day-case protocol. The incidence of vomiting on the day of surgery was significantly less in the group anaesthetised in accordance with the protocol, compared to those in previously published studies. Postoperative pain was well controlled, with 88% of the children having minimal pain on the day of surgery, and reporting a pain score of 0-2. Modifying the anaesthetic care to a protocol designed to reduce postoperative pain, nausea and vomiting achieved measurable improvements in the recovery of this group following surgery. It has enabled us to evolve from a 100% inpatient stay for these operations to 98% day-case discharge rate, with minimal post anaesthetic or surgical morbidity. We describe the protocol and discuss the implications of implementing such a protocol for children undergoing these common operations.

show abstract

Perioperative Intravenous Steroid Treatment and Tonsillectomy

Cited by 11 publications

References 11 publications

Post-operative nausea and vomiting following paediatric day-case tonsillectomy: audit of the Epsom protocol

Post-operative nausea and vomiting following paediatric day-case tonsillectomy: audit of the Epsom protocol

Adjuvant Therapies in Children Undergoing Adenotonsillectomy

Postoperative pain, nausea and vomiting following paediatric day‐case tonsillectomy

Contact Info

Product

Resources

About