Why the study?
Does intravenous ketorolac improve analgesia or increase bleeding compared to rectal acetaminophen in pediatric patients undergoing tonsillectomy?
Population
50 pediatric patients, aged 2-15 yr undergoing tonsillectomy with or without adenoidectomy
Comparison
Intravenous ketorolac (1 mg/kg) vs Rectal acetaminophen (35 mg/kg)
Design
RCT, randomized, double-blind
Follow-up
24 hours
Authors
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Ketorolac increases bleeding without improving analgesia in pediatric tonsillectomy; challenges NSAID preference over acetaminophen in this setting.
Does intravenous ketorolac improve analgesia or increase bleeding compared to rectal acetaminophen in pediatric patients undergoing tonsillectomy?
Intravenous ketorolac provides no better analgesia than high-dose rectal acetaminophen but significantly increases intraoperative bleeding during pediatric tonsillectomy.
Rusy et al. (1995) studied this question.
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