ABSTRACT
One must always be cautious when it comes to operating on small children (<15 kg or <3 years of age) as they have a smaller circulating blood volume and a preoperative group and save sample may be required. One should exclude a personal or familial bleeding tendency and discuss this with a
senior colleague if necessary. There is an increase in the vascularity of the adenoidal pad following an upper aero-digestive tract infection, and many surgeons will postpone surgery if there has been a recent episode.
