Abstract | INTRODUCTION: PATIENTS AND METHODS: Data on the risk factors for postoperative vomiting, whether the patient vomited and details of the patient's vomitus were collected prospectively on consecutive patients and compared with a gold standard. Changes in practice were agreed and a second cycle performed. RESULTS: Two cycles and a total of 107 patients were included in the audit. A significant reduction in vomiting from 27% to 11% was achieved following the introduction of routine use of intravenous dexamethasone during surgery. CONCLUSIONS: This simple prospective audit of paediatric post- tonsillectomy vomiting has resulted in a statistically significant reduction in vomiting which would appear to be due to use of intra-operative steroids.
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Authors | A M D Bennett, P J Emery |
Journal | Annals of the Royal College of Surgeons of England
(Ann R Coll Surg Engl)
Vol. 90
Issue 3
Pg. 226-30
(Apr 2008)
ISSN: 1478-7083 [Electronic] England |
PMID | 18430338
(Publication Type: Journal Article)
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Chemical References |
- Antiemetics
- Glucocorticoids
- Ondansetron
- Dexamethasone
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Topics |
- Antiemetics
(therapeutic use)
- Child
- Dexamethasone
(therapeutic use)
- Female
- Glucocorticoids
(therapeutic use)
- Humans
- Male
- Medical Audit
(methods)
- Ondansetron
(therapeutic use)
- Patient Care Planning
- Postoperative Nausea and Vomiting
(etiology, prevention & control)
- Prospective Studies
- Tonsillectomy
(adverse effects)
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