Tonsillectomy patient shifted to post op care and presented with bleeding … what is best management?
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Shift to OT, Remove clot and pressure bandages
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Shift to OT, and Ligate the vessel
Why unnecessarily making confusion… ‘shift to Ot Remove clots and cautery if there is any bleeder’… This was d option… and it will be d answer… U hv to remove d clot as clot prevents retraction of blood vessel…
probably didn’t get me… The options that u hv put were wrong …no such combination was there…what i hv written Was d option… Three things: shift to ot, remove clots, cauterize if any bleeder…
Anjali Makhecha one of the options were like remove clots and observation I think… And I opted for that option
1.give hemostatic agent and garggles for 24 hours and observe.
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Shift to OT , ligate
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Shift to OT, cautery
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Wait and watch
Check below references from Dhingra/ScottBrown/Bailey&Love.
One thing is clear for sure- we do not wait and watch .
the next question is - should we ligate or electrocauterise?