Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · May 2014
Multicenter StudyDexamethasone and risk of bleeding in children undergoing tonsillectomy.
To determine whether dexamethasone use in children undergoing tonsillectomy is associated with increased risk of postoperative bleeding. ⋯ In a real-world practice setting, dexamethasone use was associated with a small absolute increased risk of revisits for bleeding. However, the upper bound of this risk increase does not cross published thresholds for a minimal clinically important difference. Given the benefits of dexamethasone in reducing postoperative nausea and vomiting and the larger body of evidence from trials, these results support guideline recommendations for the routine use of dexamethasone.