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Publication Date

5-2024

Abstract

Introduction: Tonsillectomy is a common surgical procedure, frequently performed to address recurrent tonsillitis, obstructive sleep apnea, and other related conditions. Despite its routine nature, post-tonsillectomy bleeding remains a significant concern. This study explores the role of Tranexamic Acid (TXA) in the management of post-tonsillectomy bleeding.

Methods: A retrospective chart review was performed on pediatric patients at a tertiary care facility who presented with postoperative tonsillectomy hemorrhage from March 2023-June 2023. Demographic data, sex assigned at birth, comorbid conditions, medication administration, and patient specific outcomes were collected for analysis.

Results: 41 consecutive patients were included in this study. The mean age for this preliminary data collection was 7.86 ± 4.32 years. Of the 41 patients, 32 received nebulized TXA while 9 did not. Of the patients that received nebulized TXA, 9 patients (28.1%) returned to the OR for control of bleeding while 23 patients (71.9%) had resolution of bleeding without surgical management. Of the patients who did not receive TXA, 4 patients (44.4%) returned to the OR for control of bleeding.

Conclusions: In this preliminary study, the use of nebulized TXA appears to be associated with a lower rate of return to the operating room for control of post-tonsillectomy bleeding in pediatric patients. While the sample size is limited, these initial findings suggest a potential benefit of TXA administration in reducing the need for surgical re-operation following tonsillectomy. Further research is needed to support these observations and establish the optimal dosing and administration protocols for TXA in this context.

Document Type

Poster

The use of Tranexamic Acid for control of post-tonsillectomy hemorrhage in the pediatric population

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