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

Autor: Tamraz R; Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA., Austin R; Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA., Falcon R; Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA., Kraai T; Otolaryngology - Head and Neck Surgery, University of New Mexico School of Medicine, Albuquerque, USA., Lock R; Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA., Petersen TR; Office of Graduate Medical Education, University of New Mexico School of Medicine, Albuquerque, USA.; Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA., Soneru C; Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Oct 09; Vol. 15 (10), pp. e46763. Date of Electronic Publication: 2023 Oct 09 (Print Publication: 2023).
DOI: 10.7759/cureus.46763
Abstrakt: 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.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Tamraz et al.)
Databáze: MEDLINE