n CME : Your SA Journal of CPD - More about : community ENT
|Article Title||More about : community ENT|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Publication Date||Nov 2003|
|Pages||676 - 679|
Extracted from text ... MORE ABOUT POST-TONSILLECTOMY BLEEDING - BEWARE (PART I) M DE W WIUM MB ChB, MMed (Anes) Private Practitioner Pretoria Anaesthetic management If a child is returned to theatre for a post-tonsillectomy haemorrhage it is almost always an emergency situation. About 1% of children have significant postoperative bleeding. When a child is returned to theatre for a post-tonsillectomy haemorrhage the patient is com-promised in three ways: loss of blood volume compromised airway full stomach and gastric reaction caused by swallowed blood. Loss of blood volume In this circumstance anaesthesia requires resuscitation with a colloid or Hartman's solution. An average of 5% of the blood volume is lost during surgery; hence intravenous (IV) fluids should be given routine-ly during a tonsillectomy. Blood loss can be much greater and ..
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