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2 Ιουν 2022 · The majority of post-tonsillectomy bleeds are self-limiting. A minority (1%) will need to return to theatre for haemorrhage control. Whilst rare, sudden severe haemorrhage can occur and result in death from airway obstruction or hypovolaemic shock.
2 Ιουλ 2019 · Patients with a post-tonsillectomy hemorrhage may have associated anemia, hypovolemia, and sequestered blood in the stomach, which leads to a theoretical increase risk in aspiration. In the emergent setting, rapid sequence intubation (RSI) is often performed.
The post-op T&A bleed clinical pathway highlights the step-by-step care necessary when treating a child in the emergency department with post-operative bleeding from a tonsillectomy/adenoidectomy.
23 Αυγ 2017 · Oropharyngeal hemorrhage after tonsillectomy is one of the most common postprocedural ENT emergencies that require immediate attention. Management choices depend on the severity of bleeding, underlying platelet or coagulation disorders, and the patient’s maturity and age.
In the last 30 years, a multitude of researchers have investigated the cause, incidence, and management of posttonsillectomy hemorrhage, yielding hemorrhage rates between 0.28% and 20%. 2 - 13 Primary hemorrhage is defined as bleeding that occurs in the first 24 postoperative hours.
Post-tonsillectomy hemorrhage represents a potentially life-threatening condition that occurs in up to 5% of pediatric patients. Minor bleeding often precedes severe hemorrhage. Patients with minor or self-resolving bleeding should be observed in the emergency department or admitted for monitoring. ….
department post-tonsillectomy.19 Secondary post-tonsillectomy bleeds, defined as any bleeding that occurs 24 hours or longer after surgery, is estimated to occur in approximately 2–5% of patients undergoing tonsillectomy. The incidence increases with age as well as being more common if the indication for surgery