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Do Intravenous Steroids Play a Role for Tonsillectomy Patients?
Arch Otolaryngol Head Neck Surg. 2001;127:1010.
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Dr Heatley provides an accurate and unbiased review of the use of perioperative
intravenous steroids for tonsillectomy and cites the most appropriate and
germane articles in the recent literature. Most of the data are from the pediatric
age group, and dexamethasone is the most common steroid administered in a
dose range of 0.5 to 1.0 mg/kg as a single dose. Although a variety of postoperative
symptoms were evaluated, the most significant response was in the control
of nausea and emesis, resulting in earlier intake by mouth. Thus if one concentrates
on emesis alone, the benefit of steroids follows a statistical trend for a
positive result with no significant adverse
effects.
Figure appears in full text version.
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Over the past 30 years I have developed a standard procedure for tonsillectomy
and adenoidectomy that involves a cold dissection technique and homeostasis
by packing and suction cautery. At the start of the operation, 15 mg/kg . . . [Full Text of this Article]
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