What is the effect of postoperative steroids on postoperative physician contacts and the hemorrhage rate for pediatric tonsillectomy patients?
A short course of postoperative steroids decreased postoperative tonsillectomy hemorrhage risk by 7% and the number of postoperative phone calls for pain by 9% after tonsillectomy in pediatric patients.
Explore this issue:September 2018
Background: During the last 50 years postoperative tonsillectomy care has remained relatively unchanged, with a primary emphasis on avoiding postoperative hemorrhage and controlling pain. There is a significant opportunity to optimize outcomes and reduce complications by maximizing safe pain control in a way that limits readmission or the need for clarifying phone calls to the physician’s office after surgery.
Study design: Retrospective review of medical records of 1,200 children undergoing tonsillectomies between 2011 and 2015 before and after the institution of a standard postoperative course of three doses of dexamethasone.