Care must be taken with the type of IV fluid used to replace this degree of blood loss, as hyponatraemia is possible if glucose-saline fluids are used. Blood transfusion is needed in less than 0.1% of children. This low use of blood is not surprising because if normovolaemia is maintained with asanguineous fluid, nearly half of a child's blood volume can be lost before the haemoglobin reaches 7...

Elective tonsillectomy remains one of the most commonly performed operations in otolaryngology, with postoperative hemorrhage (PTH) being the most significant potential complication. Anecdotal evidence among ENT Surgeons suggested that bodybuilding athletes may be at increased risk of suffering from PTH, a notion corroborated by a recent case report, regarding primary PTH. The problem has been ...

Laser tonsillotomy (LTT) represents a useful, less invasive alternative to tonsillectomy as a treatment for symptomatic tonsillar hyperplasia in children, and is associated with greatly reduced risks. The main characteristics that distinguish this procedure from tonsillectomy are a significantly reduced risk of secondary bleeding, a shorter recovery, reduced pain and the fact that it can be per...

CONTEXT Dexamethasone is widely used to prevent postoperative nausea and vomiting (PONV) in pediatric tonsillectomy. OBJECTIVE To assess whether dexamethasone dose-dependently reduces the risk of PONV at 24 hours after tonsillectomy. DESIGN, SETTING, AND PATIENTS Randomized placebo-controlled trial conducted among 215 children undergoing elective tonsillectomy at a major public teaching hos...

Abstract Background Tonsillectomy is a common surgery to treat tonsillitis. In addition cold dissection methods, other new methods are also used for tonsillectomy which has several advantages. We compared the and harmonic scalpel method investigated complications of both methods. Methods This descriptive analytical study on 50 patients in population 18 60 years who had conditions based inclusio...

Objective: To evaluate if oral Tranexamic Acid can decrease the proportion of individuals with secondary bleeding in the post-operative adeno-tonsillectomy phase. Study design: Observational, retrospective epidemiological study. Setting: San Francesco Hospital, Nuoro, Italy Patients and methods: Over 20 months 236 children underwent elective adeno-tonsillectomy for chronic tonsillitis and/or ot...