Description

Hemorrhage into the upper airway can be a challenge to manage successfully.


 

Example: post-tonsillectomy hemorrhage

 

Potential complications:

(1) airway obstruction from blood and blood clots

(2) aspiration

(3) exsanguinations

(4) permanent brain damage

 

High-risk situations:

(1) patient with a difficult airway

(2) massive bleeding

(3) panic or inexperience by caregivers

(4) shock

 

Recommendations:

(1) Do not wait and expect that the bleeding will stop on its own.

(2) Establish an airway as quickly as possible, with emergent tracheostomy or cricothyroidotomy if intubation fails.

(3) Replace blood loss appropriately.

 


To read more or access our algorithms and calculators, please log in or register.