To the Editor: Dr Czarnetzki and colleagues1 reported that the use of dexamethasone resulted in a dose-dependent decreased risk of postoperative nausea and vomiting (PONV) but was associated with an increased risk of bleeding following tonsillectomy. Because postoperative hemorrhage in patients undergoing tonsillectomy has the potential to be life threatening, extensive analysis of risk factors is of general interest.
Beutner D, Koll C. Dexamethasone and Postoperative Bleeding After Tonsillectomy in Children. JAMA. 2009;301(17):1764-1766. doi:10.1001/jama.2009.573