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Wednesday 01 August 2001

Concealed post-tonsillectomy haemorrhage associated with the use of the antiemetic tropisetron.

By: Herreen PG, Wiese MC.

Anaesth Intensive Care 2001 Aug;29(4):421-2

A two-year-old child experienced concealed haemorrhage after adenotonsillectomy. In our patient, the absence of vomited or significant gastric blood and the presence of melaena stools may partly be attributed to prophylactic antiemetic treatment with tropisetron. This group of patients has a high incidence of postoperative nausea and vomiting, and antiemetic treatment is important and valuable. Rather than advocating the withholding of prophylactic antiemetic treatment, we suggest that whatever medication and techniques are used, good clinical care is dependent on careful postoperative observation and assessment for an appropriate period of time.

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