Post-tonsillectomy hemorrhage: Difference between revisions
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*ENT consult: Always, rebleeding is common and half of presentations require surgical management | *ENT consult: Always, rebleeding is common and half of presentations require surgical management | ||
*Airway management (anticipate difficulty and have surgical back up) | *Airway management (anticipate difficulty and have surgical back up) | ||
*IV, O2, Monitor, NPO | *IV, O2, Monitor, NPO, upright position | ||
*Can try direct pressure with tonsillar pack or gauze infused with lido with epi | *Can try direct pressure with tonsillar pack or gauze infused with lido with epi | ||
Revision as of 17:33, 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, upright position
- Can try direct pressure with tonsillar pack or gauze infused with lido with epi
See Also
Sources
Tintinalli