Preoperative Coagulation Studies Prior to Tonsillectomy

Hartnick, Christopher J.; Ruben, Robert J.

doi:10.1001/archotol.126.5.684

Cited by 25 publications

(22 citation statements)

References 12 publications

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“…However, we acknowledge that a prospective randomized controlled study should confirm these results, although the use of a non-prophylaxis arm could be an ethically challenged. Routine coagulation screening for all patients undergoing adenotonsillectomy has been highly debated, with a majority position against universal screening [28,29]. Structured questionnaires although useful for screening of bleeding disorders, have not yet been tested for POB [30].…”

Section: Authormentioning

confidence: 99%

Management of children with inherited mild bleeding disorders undergoing adenotonsillar procedures

García-Matte

Beltran

Fonseca

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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Section: Authormentioning

confidence: 99%

Management of children with inherited mild bleeding disorders undergoing adenotonsillar procedures

García-Matte

Beltran

Fonseca

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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“…The objectives of preoperative evaluations are to determine and decrease anesthetic and surgical risk, to admit patients for surgery in the most appropriate conditions to lessen morbidity and mortality, to know baseline functions in order to compare with intraoperative and postoperative ones, to decrease the cost of postoperative care with increased quality, and to help patients return to their normal function in the shortest time and the best possible condition (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Remembering the Importance of an Old Friend: History Taking in Preoperative Evaluation of Healthy Children - A Single Center Experience

Toprak

Koçak

Mısırlıoğlu

et al. 2016

GMJ

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Objective: To investigate the consequences of routine laboratory tests that lead to surgical delay or high cost in patients with a normal medical history and physical examination who undergo minor surgical interventions. Patients and Method: Files of 1,322 patients aged between 0-16 years that had undergone elective surgical intervention within six years were reviewed. Results: Of the 1,322 patients, 1,246 (94.3%) had normal physical examination and laboratory findings. Seventy-six children who had abnormalities in laboratory findings and physical examination were referred to pediatrics. Of the 76 pediatric referees, 42 (55.3%) were reevaluated and were diagnosed with upper respiratory tract infection (n=23; 30.2%), iron deficiency anemia (n=5; 6.5%), innocent murmur (n=4; 5.3%), thalassemia minor (n=2; 2.6%), lower respiratory tract infection (n=2; 2.6%), urinary tract infection (n=1; 1.3%), mumps (n=1; 1.3%), acute gastroenteritis (n=1; 1.3%), minimal aortic and tricuspid valve insufficiency (n=1; 1.3%), minimal aortic stenosis (n=1; 1.3%), atrial septal defect (n=1; 1.3%). Surgical interventions were delayed until the recovery of the infectious diseases. In 25 of the patients, repeated tests showed normal ranges after the second test; however nine (n=9) of the patients showed increased or decreased numbers of white blood cell counts and whose medical history and physical examination revealed signs and symptoms related to infection. Conclusion: Routine laboratory tests contribute little to preoperative evaluation of children with normal history and physical examination undergoing low grade surgery.

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“…Other less common complications include hematoma in the tonsillar bed, contamination of the surgical wound, severe edema of palate and/or uvula, adhesions in the tube area, and atlanto-occipital and temporomandibular joints luxation 1,2 . In order to reduce risks for hemorrhage, preoperative tests should be conducted routinely and carefully history should be taken to assess possible signs and symptoms of coagulopathies 3,4 , as well as history of use of drugs that may increase the risks of bleeding, such as acetylsalicylic acid.…”

Section: Introductionmentioning

confidence: 99%

Hemorragia pós-operatória em 397 adenotonsilectomias realizadas nos Hospitais Geral de Pirajussara (HGP) e Hospital Estadual de Diadema (HED) / UNIFESP-EPM

Dib

Kosugi

Neto

et al. 2004

Rev. Bras. Otorrinolaringol.

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As adenotonsilectomias são cirurgias freqüentes na especialidade de otorrinolaringologia, e sua principal indicação é a hipertrofia das tonsilas palatinas e faríngeas. Sua complicação mais comum é a hemorragia. Em nosso trabalho apresentamos a incidência de hemorragia pós-operatória das adenotonsilectomias realizadas no Hospital Geral de Pirajussara (HGP) e Hospital Estadual de Diadema (HED), objetivando a identificação das causas de sangramento. FORMA DE ESTUDO: Coorte transversal historica. MATERIAL E MÉTODO: Foram avaliados 397 pacientes submetidos a cirurgias de adenoidectomias, tonsilectomias palatinas e adenotonsilectomias. Estas últimas representaram 91,7% do total. A idade dos pacientes variou de 2 a 39 anos. Foi realizada triagem pré-operatória através de exames laboratoriais em todos os pacientes e os mesmos foram acompanhados em retornos semanais até o primeiro mês de pós-operatório. RESULTADOS: Foram realizadas nos dois hospitais (HGP e HED) 397 cirurgias, sendo 364 adenotonsilectomias (91,7%), 16 tonsilectomias palatinas (4,03%) e 17 adenoidectomias (4,28%). Houve 5 casos de sangramento no pós-operatório, sendo 3 no período imediato e 2 no período mediato. Não ocorreu nenhum caso de hemorragia no período tardio. A incidência de hemorragia, portanto, foi de 1,37% (5 casos em 364). CONCLUSÃO: a hemorragia pós-operatória parece estar relacionada com a dificuldade técnica da cirurgia e alterações da hemostasia encontradas em alguns pacientes.

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Preoperative Coagulation Studies Prior to Tonsillectomy

Cited by 25 publications

References 12 publications

Management of children with inherited mild bleeding disorders undergoing adenotonsillar procedures

Management of children with inherited mild bleeding disorders undergoing adenotonsillar procedures

Remembering the Importance of an Old Friend: History Taking in Preoperative Evaluation of Healthy Children - A Single Center Experience

Hemorragia pós-operatória em 397 adenotonsilectomias realizadas nos Hospitais Geral de Pirajussara (HGP) e Hospital Estadual de Diadema (HED) / UNIFESP-EPM

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