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Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report

Anesthetic management of children with a post-tonsillectomy hemorrhage can be challenging. The patients may be anemic and hypovolemic and are at increased risk of having a difficult airway due to active bleeding, vomiting, and anatomical issues. A clot may also interfere with viewing the larynx, fur...

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Autores principales: Tamraz, Rana, Austin, Roman, Falcon, Ricardo, Kraai, Tania, Lock, Richard, Petersen, Timothy R, Soneru, Codruta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632186/
https://www.ncbi.nlm.nih.gov/pubmed/37954797
http://dx.doi.org/10.7759/cureus.46763
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author Tamraz, Rana
Austin, Roman
Falcon, Ricardo
Kraai, Tania
Lock, Richard
Petersen, Timothy R
Soneru, Codruta
author_facet Tamraz, Rana
Austin, Roman
Falcon, Ricardo
Kraai, Tania
Lock, Richard
Petersen, Timothy R
Soneru, Codruta
author_sort Tamraz, Rana
collection PubMed
description Anesthetic management of children with a post-tonsillectomy hemorrhage can be challenging. The patients may be anemic and hypovolemic and are at increased risk of having a difficult airway due to active bleeding, vomiting, and anatomical issues. A clot may also interfere with viewing the larynx, further exacerbating the difficulty of intubation. We describe a pediatric post-tonsillectomy hemorrhage case complicated by a large obstructing clot that was removed with Magill forceps after the airway was successfully secured with an endotracheal tube during rapid sequence induction.
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spelling pubmed-106321862023-11-10 Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report Tamraz, Rana Austin, Roman Falcon, Ricardo Kraai, Tania Lock, Richard Petersen, Timothy R Soneru, Codruta Cureus Anesthesiology Anesthetic management of children with a post-tonsillectomy hemorrhage can be challenging. The patients may be anemic and hypovolemic and are at increased risk of having a difficult airway due to active bleeding, vomiting, and anatomical issues. A clot may also interfere with viewing the larynx, further exacerbating the difficulty of intubation. We describe a pediatric post-tonsillectomy hemorrhage case complicated by a large obstructing clot that was removed with Magill forceps after the airway was successfully secured with an endotracheal tube during rapid sequence induction. Cureus 2023-10-09 /pmc/articles/PMC10632186/ /pubmed/37954797 http://dx.doi.org/10.7759/cureus.46763 Text en Copyright © 2023, Tamraz et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Tamraz, Rana
Austin, Roman
Falcon, Ricardo
Kraai, Tania
Lock, Richard
Petersen, Timothy R
Soneru, Codruta
Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report
title Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report
title_full Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report
title_fullStr Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report
title_full_unstemmed Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report
title_short Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report
title_sort management of a large post-tonsillectomy thrombus obstructing the laryngeal view: a case report
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632186/
https://www.ncbi.nlm.nih.gov/pubmed/37954797
http://dx.doi.org/10.7759/cureus.46763
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