|
Title
|
|
|
|
The effect of dexamethasone on post-tonsillectomy pain, nausea and vomiting in children: a review of the evidence
| |
|
Author
|
|
|
|
| |
|
Abstract
|
|
|
|
| Background : pediatric tonsillectomy is associated with significant postoperative pain, nausea and vomiting. Postoperative vomiting occurs more frequently after tonsillectomy than any other commonly performed pediatric operation. It is also the commonest cause of morbidity and readmission following tonsillectomy. Furthermore, inadequate pain management results in considerable increase in morbidity. Purpose of the review : a number of authors have explored the effects of systemic corticosteroids in the reduction of morbidity after tonsillectomy. At the Antwerp University Hospital, dexamethasone is not currently used as part of the standard care for this procedure. However, our surgical colleagues have shown interest in this adjunctive treatment for tonsillectomy. This literature review was therefore conducted to examine the efficacy of dexamethasone in the prophylaxis of postoperative pain, nausea and vomiting, following tonsillectomy in the pediatric population. Design : a retrospective analysis of English-speaking literature from January 2008 until December 2019. Conclusion : preoperative intravenous dexamethasone clearly decreases post-tonsillectomy morbidity, but as yet, no consensus has been reached regarding the optimum recommended dose. |
| |
|
Language
|
|
|
|
English
| |
|
Source (journal)
|
|
|
|
Acta anaesthesiologica belgica / Belgische Vereniging voor Anesthesie en Reanimatie; Society for Anesthesia and Resuscitation of Belgium. - Brussel, 1950, currens
| |
|
Publication
|
|
|
|
Brussels
:
Acta medical belgica
,
2020
| |
|
ISSN
|
|
|
|
0001-5164
| |
|
Volume/pages
|
|
|
|
71
:s:[1]
(2020)
, p. 57-65
| |
|
ISI
|
|
|
|
000641759600008
| |
|