Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy

Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy ORIGINAL ARTICLE Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy Matthew T. Brigger, MD, MPH; Michael J. Cunningham, MD; Christopher J. Hartnick, MD, MEpi Objective: To assess whether administration of dexa- algesia, and postoperative care, were equivalent be- methasone during tonsillectomy is associated with a dose- tween children. dependent increased rate of postoperative tonsillec- tomy hemorrhage. Main Outcome Measures: Occurrence of postopera- tive hemorrhage based on 3 severity stratification levels. Design: Retrospective review of 2788 children and ado- lescents who underwent tonsillectomy with or without Results: Ninety-four of the 2788 children experienced adenoidectomy for sleep-disordered breathing or infec- 104 episodes of postoperative hemorrhage. After adjust- tious tonsillitis and received perioperative dexametha- ing for age, sex, primary diagnosis, and surgical tech- sone between January 1, 2002, and March 3, 2009. Pa- nique, the odds ratio of experiencing a postoperative tients underwent 1 of 3 methods of tonsillectomy, hemorrhage of any severity in children who received the including extracapsular electrosurgical tonsillectomy, ex- 1.0-mg/kg compared with the 0.5-mg/kg dose was 0.66 tracapsular radiofrequency ablation tonsillectomy, or in- (95% confidence interval [CI], 0.42-1.05). Children re- tracapsular microdebrider tonsillotomy. quiring readmission with or without the need for opera- tive intervention demonstrated an http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy

Download PDF
7 pages

Loading next page...
 
/lp/american-medical-association/dexamethasone-administration-and-postoperative-bleeding-risk-in-lCO09RKa1Z

References (27)

Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archoto.2010.133
pmid
20713751
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy Matthew T. Brigger, MD, MPH; Michael J. Cunningham, MD; Christopher J. Hartnick, MD, MEpi Objective: To assess whether administration of dexa- algesia, and postoperative care, were equivalent be- methasone during tonsillectomy is associated with a dose- tween children. dependent increased rate of postoperative tonsillec- tomy hemorrhage. Main Outcome Measures: Occurrence of postopera- tive hemorrhage based on 3 severity stratification levels. Design: Retrospective review of 2788 children and ado- lescents who underwent tonsillectomy with or without Results: Ninety-four of the 2788 children experienced adenoidectomy for sleep-disordered breathing or infec- 104 episodes of postoperative hemorrhage. After adjust- tious tonsillitis and received perioperative dexametha- ing for age, sex, primary diagnosis, and surgical tech- sone between January 1, 2002, and March 3, 2009. Pa- nique, the odds ratio of experiencing a postoperative tients underwent 1 of 3 methods of tonsillectomy, hemorrhage of any severity in children who received the including extracapsular electrosurgical tonsillectomy, ex- 1.0-mg/kg compared with the 0.5-mg/kg dose was 0.66 tracapsular radiofrequency ablation tonsillectomy, or in- (95% confidence interval [CI], 0.42-1.05). Children re- tracapsular microdebrider tonsillotomy. quiring readmission with or without the need for opera- tive intervention demonstrated an

Journal

JAMA Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Aug 1, 2010

There are no references for this article.