Tamraz Rana, Austin Roman, Falcon Ricardo, Kraai Tania, Lock Richard, Petersen Timothy R, Soneru Codruta
Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA.
Otolaryngology - Head and Neck Surgery, University of New Mexico School of Medicine, Albuquerque, USA.
Cureus. 2023 Oct 9;15(10):e46763. doi: 10.7759/cureus.46763. eCollection 2023 Oct.
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.
扁桃体切除术后出血患儿的麻醉管理具有挑战性。这些患儿可能存在贫血和血容量不足的情况，并且由于活动性出血、呕吐和解剖学问题，气道管理困难的风险增加。血凝块也可能妨碍喉镜视野，进一步增加插管难度。我们描述了一例小儿扁桃体切除术后出血病例，该病例合并有一个大的阻塞性血凝块，在快速顺序诱导期间通过气管内导管成功确保气道安全后，用麦吉利钳将血凝块取出。
