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Use of Nebulized Tranexamic Acid in Adult and Pediatric Post-tonsillectomy Hemorrhage by Angela Cao; Joshua Silverman; Gerald Zahtz; Lee P. Smith is a Medicine article available to read on EtoBox.

What is Use of Nebulized Tranexamic Acid in Adult and Pediatric Post-tonsillectomy Hemorrhage about?

Post-tonsillectomy hemorrhage is a serious complication and is one of the most common reasons for emergency department visits following tonsillectomy. A percentage of these patients require a return trip to the operating room for hemostasis. A variety of methods exist for control of post-tonsillectomy hemorrhage. We report the use of nebulized tranexamic acid (TXA) in two adult and two pediatric patients who presented with post-tonsillectomy hemorrhage. Methods: A retrospective chart review was conducted on four patients at two tertiary care hospital centers. Patients were identified if they experienced post-tonsillectomy hemorrhage and were administered nebulized TXA during their hospital course for bleeding control. Results: Two pediatric (8 and 15 years old) and two adult (27 and 31 years old) patients who presented to the emergency department with post-tonsillectomy hemorrhage were treated with 500 mg of nebulized TXA. All patients had previously undergone extracapsular tonsillectomy. One patient required additional bedside cautery with silver nitrate after nebulized TXA, but no patients required a return trip to the operating room. No patients experienced adverse medication si

Who reads Use of Nebulized Tranexamic Acid in Adult and Pediatric Post-tonsillectomy Hemorrhage?

Author

Angela Cao; Joshua Silverman; Gerald Zahtz; Lee P. Smith

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)