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Disseminated Intravascular Coagulation syndrome - ENT surgeon's perspective
A Ravikumar1, Vivek Sasindran, K Senthil
1Dept of ENT, Head & Neck Surgery, Sri Ramachandra Medical College & Research Institute (DU), 600116 Porur, Chennai, India.
Summary
ENT surgeons rarely face Disseminated Intravascular Coagulation (DIC) during critical surgeries. Patient outcomes in DIC cases depend heavily on the coagulation disorder
Area of Science:
- Otolaryngology
- Hematology
- Critical Care Medicine
Background:
- Disseminated Intravascular Coagulation (DIC) is a rare but severe systemic condition.
- ENT surgeons may encounter DIC during emergency procedures for malignancy or airway compromise.
Purpose of the Study:
- To report on the management of two patients with DIC undergoing definitive ENT surgery.
- To highlight the challenges and variable outcomes in managing DIC in the ENT surgical setting.
Main Methods:
- Case report of two patients with DIC undergoing surgical intervention.
- Analysis of clinical presentation, surgical procedures, and outcomes in relation to coagulation status.
Main Results:
- Outcomes varied significantly between the two patients.
- Severity and timing of the underlying coagulation disorder influenced patient outcomes.
Conclusions:
- ENT surgeons must be prepared for rare systemic emergencies like DIC.
- Careful risk assessment and management are crucial for patients with DIC undergoing ENT surgery.
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