This study in Pediatrics, published June 22, 2015, looked at the impact of the 2011 perioperative care guidelines on tonsillectomy processes and outcomes. The guidelines indicate dexamethasone use to prevent nausea and vomiting, and no routine use of antibiotics among other practices. Findings suggest the guidelines helped improve perioperative care processes but did not improve the rate of hospital revisits. During the study period, dexamethasone use increased slightly and antibiotic use decreased substantially. Bleeding rates were stable, and hospital revisits increased modestly due to pain.
Sanjay Mahant, MD, FRCPC, MSc; Matt Hall, PhD; Stacey L. Ishman, MD, MPH; Rustin Morse, MD; Vineeta Mittal, MD; Grant M. Mussman, MD, MHSA; Jessica Gold, MD; Amanda Montalbano, MD, MPH; Rajendu Srivastava, MD, FRCPC, MPH; Karen M. Wilson, MD, MPH; Samir S. Shah, MD, MSCE