Post-tonsillectomy hemorrhage: Difference between revisions
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==Presentation== | ==Presentation== | ||
*Occurs in 1-6% of tonsillectomies | *Occurs in 1-6% of tonsillectomies | ||
*Most common on POD 5-7 | |||
*Highest incidence in 21-30 year olds | *Highest incidence in 21-30 year olds | ||
*Lowest in <6 year olds | *Lowest in <6 year olds | ||
Revision as of 17:24, 28 May 2014
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
- Can try direct pressure with tonsillar pack or gauze infused with lido with epi
See Also
Sources
Tintinalli