Preoperative Ketorolac Increases Bleeding After Tonsillectomy in Children

Preoperative lornoxicam for pain prevention after tonsillectomy in adults

“…However, NSAIDs and perioperative bleeding during tonsillectomy are still a focus of debate. Some authors believe that NSAIDs are contraindicated during tonsillectomy [24,25], while others report that they are a useful and safe addition to postoperative analgesia, without an increase in perioperative bleeding [26,27]. In the present study, there were no significant differences between the groups in intraoperative blood loss, with no episodes of primary post-tonsillectomy bleeding.…”

Preoperative peritonsillar lornoxicam infiltration is not superior to intravenous lornoxicam for pain relief following tonsillectomy in adults

“…24 However, NSAIDs and perioperative bleeding during tonsillectomy are still a focus of debate. Some authors 25,26 have suggested that NSAIDs are contraindicated during tonsillectomy, as a single dose of preoperative ketorolac or diclofenac in children increased perioperative or intraoperative blood loss. On the contrary, others 27,28 have reported that NSAIDs are a useful and safe addition to postoperative analgesia without an increase in perioperative bleeding.…”

Preoperative flurbiprofen for pain prevention after tonsillectomy in adults

“…Some authors have suggested that NSAIDs are contraindicated during tonsillectomy [6,7]. However, other authors have not found any increase in perioperative bleeding with preoperative NSAIDs [13,16].…”

“…It also has a high incidence of postoperative bleeding. Preoperative use of nonsteroidal anti-inflammatory drugs (NSAIDs) is justified because they decrease postoperative pain [1][2][3][4], but NSAIDs may also contribute to increased blood loss [5][6][7]. Flurbiprofen is a nonselective cyclooxygenase inhibitor [8].…”