Tonsillectomy patient shifted to post op care and presented with bleeding … what is best management?
Shift to OT, Remove clot and pressure bandages
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.
Shift to OT , ligate
Shift to OT, cautery
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?