Document Detail


Adult and paediatric tonsillectomy: a two cycle audit of SIGN 117 in a total of one hundred and sixty nine patients.
MedLine Citation:
PMID:  23140421     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
KEY POINTS: (1) SIGN guideline 117 (2010) represents a significant update to the original version (1999) with respect to the management of sore throat and indications for tonsillectomy, but also the prevention of postoperative nausea and vomiting (PONV) post-tonsillectomy. (2) There appeared to be low initial awareness of SIGN guideline 117 within the anaesthetic departments involved and many anaesthetists followed alternative guidelines, highlighting the need for local discussion and policy making. (3) Dexamethasone was used to prevent PONV in 67% of patients in the first audit cycle and 76% in the second cycle. (4) Anaesthetic concerns regarding the quality of evidence for the high doses of dexamethasone recommended were identified by this study. (5) The optimal timing of administration and dosage of dexamethsone remains unresolved and should be the subject of further research. © 2012 Blackwell Publishing Ltd.
Authors:
Hathorn Iain; Steele Peter; Aldridge Louise; Montague Mary Louise
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-12
Journal Detail:
Title:  Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery     Volume:  -     ISSN:  1749-4486     ISO Abbreviation:  Clin Otolaryngol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247023     Medline TA:  Clin Otolaryngol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
Royal Hospital for Sick Children Edinburgh, Department of Paediatric ENT Surgery.
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