Post-tonsillectomy hemorrhage
Revisión del 17:33 28 may 2014 de Sharon.cu.md (discusión | contribs.)
Presentation
- Occurs in 1-6% of tonsillectomies
- Most common on POD 5-7
- Highest incidence in 21-30 year olds
- Lowest in <6 year olds
Work Up
- Physical exam (do NOT remove any clots)
- CBC, T+S or T+C, coags
Management
- ENT consult: Always, rebleeding is common and half of presentations require surgical management
- Airway management (anticipate difficulty and have surgical back up)
- IV, O2, Monitor, NPO, upright position
- Can try direct pressure with tonsillar pack or gauze infused with lido with epi
See Also
Sources
Tintinalli, Roberts & Hedges