A case of prolonged bleeding after pediatric adenotonsillectomy

Objective & Hypothesis:Life-threatening complications in tonsillectomy and adenoidectomy are rare, and generally produce a catastrophic hemorrhagic and respiratory complication.

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Key Findings & Data:Post-tonsillectomy hemorrhage remains an important factor in determining the safety of performing tonsillectomy as an outpatient procedure.

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Conclusion & Impact:In this case report, we discuss the risk factors for postoperative bleeding in pediatric patients.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Life-threatening complications in tonsillectomy and adenoidectomy are rare, and generally produce a catastrophic hemorrhagic and respiratory complication. Post-tonsillectomy hemorrhage remains an important factor in determining the safety of performing tonsillectomy as an outpatient procedure. An awareness of these factors can help identify potential postoperative bleeders. The frequently performed determination of routine coagulation parameters (aPTT, PT, PLC) is not able to reliably identify relevant coagulation disorders or to predict the risk of postoperative hemorrhagic complications after adenoidectomy or tonsillectomy. In this case report, we discuss the risk factors for postoperative bleeding in pediatric patients.

Özet

Tonsillektominin ve adenektominin yaşamı tehdit eden komplikasyonları nadir ve yıkıcı olan kanama ve solunumsal komplikasyonlardır. Tonsillektomi sonrası kanama günlük tonsillektomi vakalarının güvenliğini belirleyen en önemli faktördür. Rutin uygulanan koagülasyon parametreleriyle (aPTT, PT, trombosit sayısı) güvenilir olarak koagülasyon bozukluklarını tespit etmek ve postoperatif kanama komplikasyonu risk faktörlerinin varlığını belirlemek mümkün değildir. Bu olgu sunumunda pediyatrik hastalarda postoperatif risk faktörleri tartışılmıştır.

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Cite This Article

ÖZYUVACI, E., VATANSEVER, Ş., SARIKAYA, Z. T. (2022). A case of prolonged bleeding after pediatric adenotonsillectomy. İstanbul Tıp Dergisi, Cilt: 12 - Sayı: 3, 150–152. https://ajindex.com/articles/552557

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