Nebulized Tranexamic Acid Use for Pediatric Secondary Post-Tonsillectomy Hemorrhage
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Updated: Feb 4, 2026

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Published on: January 19, 2024
Whitney Schwarz1, Timothy Ruttan1, Kelly Bundick1
1Dell Children's Medical Center, University of Texas at Austin Dell Medical School, Austin, TX.
Abstract:
Post-tonsillectomy hemorrhage is a frequent occurrence in the emergency department, and management of potentially life-threatening and ongoing bleeding by the emergency physician is challenging. Limited evidence-based guidelines exist, and practice patterns vary widely. We administered nebulized tranexamic acid to achieve hemostasis in a pediatric patient with associated bleeding cessation prior to definitive operative management.
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