Ibuprofen Does Not Cause Increased Bleeding During Tonsillectomy, Adenotonsillectomy

How effective is oral ibuprofen as a preoperative analgesic after pediatric adenotonsillectomy?

Bottom line
Children treated with preoperative ibuprofen did not experience increased bleeding during or soon after tonsillectomy compared to controls.

Background: Tonsillectomy with or without adenoidectomy is among the most common surgeries performed in pediatrics. Postoperative pain is universal and moderately severe following tonsillectomy, and there is no ideal postsurgical analgesia method. Recent

literature suggests that ibuprofen, unlike other nonsteroidal anti-inflammatory drugs (NSAIDS), does not increase bleeding after pediatric tonsillectomy.

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