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Postoperative Tonsillectomy Hemorrhage.

Abstract 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. Patients with severe bleeding should be immediately assessed for airway and hemodynamic stability. Management of severe bleeding includes immediate surgical consultation or initiation of the transfer process to a center with surgical capabilities, direct pressure to the site of hemorrhage with or without the additional of a hemostatic agent, possible rapid sequence intubation, and management of hemodynamic instability with volume resuscitation.
PMID
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Authors

Mayor MeshTerms
Keywords

Bleeding

Emergency medicine

Hemorrhage

Pediatric

Tonsillectomy

Journal Title emergency medicine clinics of north america
Publication Year Start




PMID- 29622331
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1558-0539 (Electronic)
IS  - 0733-8627 (Linking)
VI  - 36
IP  - 2
DP  - 2018 May
TI  - Postoperative Tonsillectomy Hemorrhage.
PG  - 415-426
LID - S0733-8627(17)30144-X [pii]
LID - 10.1016/j.emc.2017.12.009 [doi]
AB  - 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. Patients with
      severe bleeding should be immediately assessed for airway and hemodynamic
      stability. Management of severe bleeding includes immediate surgical consultation
      or initiation of the transfer process to a center with surgical capabilities,
      direct pressure to the site of hemorrhage with or without the additional of a
      hemostatic agent, possible rapid sequence intubation, and management of
      hemodynamic instability with volume resuscitation.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Wall, Jessica J
AU  - Wall JJ
AD  - Department of Emergency Medicine, Penn Presbyterian Medical Center, 51 North 39th
      Street, Philadelphia, PA 19104, USA. Electronic address:
      [email protected]
FAU - Tay, Khoon-Yen
AU  - Tay KY
AD  - Division of Emergency Medicine, Children's Hospital of Philadelphia, 3501 Civic
      Center Boulevard, Philadelphia, PA 19104, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180210
PL  - United States
TA  - Emerg Med Clin North Am
JT  - Emergency medicine clinics of North America
JID - 8219565
SB  - IM
MH  - Child
MH  - Humans
MH  - Pain Management/methods
MH  - Pediatrics/*methods
MH  - Postoperative Hemorrhage/etiology/*prevention & control/*therapy
MH  - Risk Factors
MH  - Tonsillectomy/*adverse effects
OTO - NOTNLM
OT  - Bleeding
OT  - Emergency medicine
OT  - Hemorrhage
OT  - Pediatric
OT  - Tonsillectomy
EDAT- 2018/04/07 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/07 06:00
PHST- 2018/04/07 06:00 [entrez]
PHST- 2018/04/07 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - S0733-8627(17)30144-X [pii]
AID - 10.1016/j.emc.2017.12.009 [doi]
PST - ppublish
SO  - Emerg Med Clin North Am. 2018 May;36(2):415-426. doi: 10.1016/j.emc.2017.12.009. 
      Epub 2018 Feb 10.