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Do non-steroidal anti-inflammatory drugs increase the risk of bleeding after tonsillectomy?
  1. S R Desikan, Registrar1,
  2. N G Meena2
  1. 1St Richard’s Hospital, Chichester, UK; meenadesikan@aol.com
  2. 2SHO, East Surrey Hospital, Redhill, UK

    https://doi.org/10.1136/adc.2004.050336

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      You are a paediatric SHO covering the hospital wards. A 5 year old child has had tonsillectomy, and the nurse looking after this child says the child is in lots of pain. She has given paracetamol but the child is still crying in pain. You consider giving a non-steroidal anti-inflammatory drug (NSAID) but you know that these agents interfere with platelet function and are worried about increased risk of bleeding. You also consider giving morphine but you know that it may cause nausea and vomiting.

      Structured clinical question

      In children after tonsillectomy [patient] does the use of NSAIDs [intervention] compared with opiates [comparison] increase the risk of bleeding and decrease …

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      Footnotes

      • Bob Phillips