Some Aspects of Blood Loss and Fluid Balance in Paediatric Adenotonsillectomy

Holden, H. B.; Maher, Jeanne-Marie

doi:10.1097/00132586-196610000-00042

Cited by 7 publications

(13 citation statements)

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“…These findings correlate well with those of Shalom's [6] and Holden and Maher's [4], series of adenotonsillectomy.…”

Section: Agesupporting

confidence: 84%

“…This could be attributed to the fact that with more fibrosis, the lesser the contraction of the vessels, thus resulting in more blood loss (118.24 ml). Holden and Maher [4], also reported increase in blood loss on tonsillectomy in fibrosed tonsils. Four cases of quinsy were initially subjected for incision and drainage followed by antibiotics.…”

Section: Discussionmentioning

confidence: 88%

“…Holden and Maher [4], report a mean blood loss of 77.5 ml in their short series in which adenoidectomy alone was done (14 cases). The blood loss from adenoidectomy is largely unavoidable though some surgeons pack the postnasal space while proceeding with tonsillectomy.…”

Section: Discussionmentioning

confidence: 98%

“…In their series, Holden and Maher [4], and Haq and Dundee [5], used the volumetric and gravimetric method for measurement of blood loss. Shalom [6], Callanan et al [7], and Boliston and Upton [8], in their series used the swab method for estimation of blood loss.…”

Section: Discussionmentioning

confidence: 99%

“…It is seen that bleeding was less after an antibiotic course. Imperfections of anaesthetic technique, which produce laryngospasm, gagging or straining, may contribute materially to blood loss [4]. The dissection skills of the operating surgeon also plays a role in operative blood loss.…”

Section: Antibiotic Therapymentioning

confidence: 99%

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Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy

Prasad

2011

Indian J Otolaryngol Head Neck Surg

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To estimate the average operative blood loss in tonsillectomy and adenotonsillectomy and the various factors affecting it. A prospective study of estimation of blood loss in 100 patients who underwent tonsillectomy and adenotonsillectomy. Data collected included the age, sex, operative indication, clotting time, Hb levels and usage of pre-operative antibiotics. Cold knife dissection method for tonsillectomy and curettage method for adenoidectomy were used. Measurement by calorimetric method of estimation being simple and accurate was used for estimation. Study undertaken at a tertiary referral hospital catering to an urban, semi-urban and rural populace. Blood loss was more in males and increases as age advances both in adenotonsillectomy and tonsillectomy. Blood loss was more in fibrosed tonsils, at lower hemoglobin levels and at higher clotting times. It was less in cases who received pre-operative antibiotics. The average blood losses in males and females during tonsillectomy were 106.91 and 96.26 ml respectively. In adenotonsillectomy, the average blood losses in males and females were 81.44 and 76.82 ml respectively. In our series we found that blood loss in tonsillectomy and adenotonsillectomy depended on various factors like age, sex, the type of tonsillitis, method of dissection, hemoglobin concentration, clotting time and the use of antibiotics. All these factors must be taken into consideration while taking up patients especially those who cannot tolerate blood loss, for surgery.

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“…These findings correlate well with those of Shalom's [6] and Holden and Maher's [4], series of adenotonsillectomy.…”

Section: Agesupporting

confidence: 84%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Antibiotic Therapymentioning

confidence: 99%

See 3 more Smart Citations

Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy

Prasad

2011

Indian J Otolaryngol Head Neck Surg

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Guillotine and dissection tonsillectomy compared

Wake

Glossop

1989

J. Laryngol. Otol.

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One hundred children and twenty adults were randomly allocated to guillotine or dissection tonsillectomy operations. The study was prospective and double-blind. In the children, the guillotine technique had demonstrable advantages over the dissection technique in terms of duration of operation, blood loss and post-operative pain. There was no significant morbidity in either group. In the adults, the random allocation of patients into these groups was found to be technically unsatisfactory and this arm of the study was abandoned after twenty patients.

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Role of routine fluid replacement in children undergoing tonsillectomy

Wilson¹,

Snow²,

O'Connel³

et al. 1990

J. Laryngol. Otol.

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It has been suggested that children undergoing tonsillectomy would benefit from an intravenous infusion, to counteract the period of pre-operative fasting combined with the blood loss at operation. A prospective study of 50 children undergoing tonsillectomy was undertaken. The children were randomly allocated into two groups, one to receive an infusion and a control group. There were no significant differences between the two groups, although the children with an infusion had a longer mean post-operative stay. There would seem to be no role for routine intravenous fluid replacement in children undergoing uncomplicated tonsillectomy.

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Some Aspects of Blood Loss and Fluid Balance in Paediatric Adenotonsillectomy

Cited by 7 publications

References 0 publications

Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy

Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy

Guillotine and dissection tonsillectomy compared

Role of routine fluid replacement in children undergoing tonsillectomy

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