Hemostasis in Pediatric Surgery.
Hemostasis is an important concept in pediatric otolaryngologic surgery. This article details the considerations the otolaryngologist should take when it comes to clinical evaluation and surgical technique. It begins with the preoperative evaluation, and evolves into the use of different mechanical and chemical methods of operative hemostasis. We detail use of different hemostatic techniques in common pediatric procedures, and finally, we discuss indications for intraoperative and postoperative blood transfusion in pediatric patients if the surgeon encounters significant intraoperative hemorrhage. This paper gives a comprehensive look into the hemostatic considerations for the pediatric patient through the preoperative to postoperative period.
Department of Otolaryngology, University of Texas at Houston McGovern Medical School, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA. Electronic address: soham.roy@uth.tmc.edu.
Soham
S
Roy
Department of Otolaryngology, University of Texas at Houston McGovern Medical School, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA.
Jo-Lawrence
JL
Bigcas
Department of Otolaryngology, University of Texas at Houston McGovern Medical School, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA.
Laura
L
Vandelaar
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion / Q000379:methods*; D002648:Child; D006488:Hemostasis, Surgical / Q000379:methods; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000494:pharmacology*; D006801:Humans; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy; D014068:Tonsillectomy / Q000009:adverse effects* / Q000379:methods
D006490:Hemostatics
Epistaxis; Hemostasis; Pediatric; Tonsillectomy; Von Willebrand