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четверг, 1 ноября 2012 г.

Does dexamethasone result in post-op bleeding?


More and more children are subjected to tonsillectomies. The number of operations in children younger than 15 years old has increased substantially.
After tonsillectomy or adenotonsillectomy kids may have vomiting and nausea. So, health care providers recommend applying corticosteroids during operations in order to reduce these post-operation adverse effects.
Unluckily, while corticosteroids minimize risks/severity connected with nausea and vomiting, they are associated with several other problems. They may cause bleeding during and after tonsillectomies. Several researches have showed that the number of complications after tonsillectomies has increased during certain last years. Since number of tonsillectomies becomes more increased, complications appear more frequently too.
Certain specialists decided to know whether bleeding occurs after tonsillectomies on account of corticosteroids. They tried to learn whether there is any substantial difference in appearing of bleeding between children that administer the corticosteroid dexamethasone during tonsillectomies and those that don’t receive this product. Thus, the scientists enrolled over 300 children in the trial.
Results of the study have manifested that bleeding of the levels I and II are enhanced by 5% in those who apply a single measure of dexamethasone during tonsillectomy.
Thus, corticosteroids don’t increase the risk connected with post-operation bleeding obviously. However physicians doubt about safety of corticosteroids applied during tonsillectomies, they don’t increase serious bleeding events obviously.

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