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Tonsillectomy and Postoperative Vomiting

Tonsillectomy and Postoperative Vomiting Do Steroids Really Work? Tonsillectomy is one of the most difference in the amount of anti- common otolaryngologic proce- emetic medications that were needed dures performed. Unfortunately, it between the steroid- and nonsteroid- can be associated with a prolonged treated groups. This makes me ques- and difficult postoperative recov- tion the true severity of the symp- ery; postoperative vomiting has been toms reported. In addition, the reported in up to 75% of patients. greatest improvement was seen af- Return to normal activities and oral ter discharge, during the first 24 intake can take up to 2 weeks. There- hours after surgery, and not in the fore, attempts have been made to immediate postoperative period both minimize anesthetic adverse ef- (first 6 hours). Pappas et al sug- fects and improve the postopera- gested that an antiemetic agent ad- tive course. For example, Telian et ministered during this period may al reported a decrease in postton- also be helpful. sillectomy symptoms with the use of Also, there were often no con- intraoperative ampicillin and post- trols on the amount of steroid that Sally R. Shott, MD operative amoxicillin. was used between studies. Similar Treatment with intraoperative prosteroid results were reported by http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Tonsillectomy and Postoperative Vomiting

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Publisher
American Medical Association
Copyright
Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archotol.127.8.1009
Publisher site
See Article on Publisher Site

Abstract

Do Steroids Really Work? Tonsillectomy is one of the most difference in the amount of anti- common otolaryngologic proce- emetic medications that were needed dures performed. Unfortunately, it between the steroid- and nonsteroid- can be associated with a prolonged treated groups. This makes me ques- and difficult postoperative recov- tion the true severity of the symp- ery; postoperative vomiting has been toms reported. In addition, the reported in up to 75% of patients. greatest improvement was seen af- Return to normal activities and oral ter discharge, during the first 24 intake can take up to 2 weeks. There- hours after surgery, and not in the fore, attempts have been made to immediate postoperative period both minimize anesthetic adverse ef- (first 6 hours). Pappas et al sug- fects and improve the postopera- gested that an antiemetic agent ad- tive course. For example, Telian et ministered during this period may al reported a decrease in postton- also be helpful. sillectomy symptoms with the use of Also, there were often no con- intraoperative ampicillin and post- trols on the amount of steroid that Sally R. Shott, MD operative amoxicillin. was used between studies. Similar Treatment with intraoperative prosteroid results were reported by

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 2001

References