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Management of a Large Post-tonsillectomy Thrombus Obstructing the Laryngeal View: A Case Report

Rana Tamraz1, Roman Austin1, Ricardo Falcon1

  • 1Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA.

Cureus
|November 13, 2023
PubMed

Insights

Managing children with post-tonsillectomy bleeding is difficult due to airway risks. This case highlights successful endotracheal intubation and clot removal in a pediatric patient with post-tonsillectomy hemorrhage.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery

Background:

  • Post-tonsillectomy hemorrhage presents anesthetic challenges in children.
  • Patients may have anemia, hypovolemia, and difficult airways from bleeding or vomiting.

Observation:

  • A pediatric patient experienced post-tonsillectomy hemorrhage.
  • A large obstructing clot complicated airway management and laryngeal visualization.

Findings:

  • Successful airway secured via endotracheal intubation during rapid sequence induction.
  • Obstructing clot removed with Magill forceps after successful intubation.

Implications:

  • Effective airway management strategies are crucial for pediatric post-tonsillectomy hemorrhage.
  • This case demonstrates a successful approach to a challenging pediatric airway scenario.

Keywords:
airwayblood clotdifficult intubationobstructed laryngoscopic viewpost-tonsillectomy bleedpost-tonsillectomy complicationpost-tonsillectomy hemorrhage

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