Journal Reviews

Post-operative tonsillectomy bleeding with a normal clinical exam

6 October 2017 | | Bleed, Cauterization, Hemorrhage, Observation, Pediatric, Tonsillectomy

Tonsillectomy is amongst the most common surgical procedures performed across the western world. For patients who report bleeding post-tonsillectomy, but have no clinical findings on examination, the management can be unclear. The accepted current management in most centres would be...

Preoperative risk factors: when do you need to refer to the haematologist?

1 September 2016 | | Anticoagulants, Bleeding risk, Coagulation disorders, Herbal medication, High-risk populations, Preoperative assessment

It is essential that clinicians are able to identify and assess which patients are in the high risk category for bleeding during ENT surgery. A full history, including medications, herbal remedies taken, any other medical co-morbidities and family history of...

Risk factors for post tonsillectomy bleeds

1 November 2014 | | Skull Base Surgery, Head and Neck | Bleeding, Postoperative hemorrhage, Reoperation, Tonsillectomy

This paper reviews post-tonsillectomy bleeding in 692 patients and attempts to tease out risk factors. The overall bleed rate of 11.6% seems very high. The return to theatre rate was 2.6%. The paper identifies male patients and adult patients as...