International journal of pediatric otorhinolaryngology
-
Int. J. Pediatr. Otorhinolaryngol. · Aug 2007
Randomized Controlled TrialThe effect of dexamethasone on postoperative vomiting and oral intake after adenotonsillectomy.
Vomiting is one of the most important postoperative complications of adenotonsillectomy. This study was designed to determine the effectiveness of preoperative intravenous dexamethasone on postoperative emesis. ⋯ A single dose of dexamethasone significantly decreased the incidence of postoperative vomiting in early and late recovery phase and shortened the time to first oral intake and the duration of IV therapy.
-
Int. J. Pediatr. Otorhinolaryngol. · Aug 2007
Comparative StudyFlexible fiberoptic laryngoscopy in children: effect of sitting versus supine position.
Currently no standard exists as to the exact technique of flexible fiberoptic laryngoscopy (FFL) for children. Our objective was to determine the effects of examination in the sitting versus supine position on upper airway findings during FFL in children using a standardized technique and a grading system. In this prospective study, each child acted as his or her own control. ⋯ We conclude that although sitting versus supine position statistically significantly affects upper airway findings during FFL in children, examination in either position is usually acceptable. Examination in both positions may detect small differences in approximately one third of children, but we believe this would usually not alter management. Investigators are encouraged to adopt standardized techniques for FFL and grading systems that will allow meaningful comparisons between patients, techniques, and centers.