Paul, C., Sanader, S., Wetsch, W. A., Stangl, R. and Lechleuthner, A. (2018). Life-threatening post-tonsillectomy hemorrhage. Case report including suggestions for a prehospital emergency care algorithm. Notfall Rettungsmed., 21 (7). S. 603 - 609. NEW YORK: SPRINGER. ISSN 1436-0578

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Abstract

Ayoung woman suffered an out-of-hospital hemorrhage in her parents' home one week after having undergone tonsillectomy. She was initially awake when the emergency medical service personnel arrived. But because of severe aspiration of blood, she quickly became hypoxemic and required cardiac resuscitation. Endotracheal intubation failed so that airway had to be secured by means of cricothryrotomy. Under resuscitation care, she was taken to the university hospital. Despite surgical exploration of the pharyngeal and collar region as well as advanced life support, return of spontaneous circulation (ROSC) could not be achieved and the patient died. On the basis of this case report, an attempt is made to include all emergency procedures that are necessary in posttonsillectomy hemorrhage such as difficult airway management, bleeding control and hemodynamic support into auseful algorithm.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Paul, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sanader, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wetsch, W. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stangl, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lechleuthner, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-168171
DOI: 10.1007/s10049-018-0421-z
Journal or Publication Title: Notfall Rettungsmed.
Volume: 21
Number: 7
Page Range: S. 603 - 609
Date: 2018
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1436-0578
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANEXAMIC ACID; SURGERY; TONSILMultiple languages
Emergency MedicineMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16817

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