A significant reduction in paediatric post-tonsillectomy vomiting through audit.

Annals of the Royal College of Surgeons of England
A M D Bennett, P J Emery

Abstract

Postoperative vomiting occurs more frequently after tonsillectomy than any other commonly performed paediatric operation. Postoperative vomiting is also the commonest cause of morbidity and re-admission following tonsillectomy. We present a successful completed audit cycle and literature review on the subject. 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. 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. 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.

References

Jan 1, 1992·British Journal of Anaesthesia·J Lerman
Jun 19, 2003·Anesthesiology Clinics of North America·Girish P Joshi
Mar 1, 1963·British Journal of Anaesthesia·H G BROWN
Apr 23, 2005·The Cochrane Database of Systematic Reviews·M CardwellA Smith
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Citations

Jul 22, 2011·The Journal of Laryngology and Otology·P J Robb, B N Ewah
Dec 19, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Poopak IzadiMaryam Sadrameli
Mar 12, 2011·Journal of Evaluation in Clinical Practice·Priya AcharBn Kumar
Aug 25, 2020·Anesthesia and Analgesia·Rajeev SubramanyamAnna Varughese

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