PMID: 2115650Jun 1, 1990Paper

A comparison of postoperative bleeding incidence between general and local anesthesia tonsillectomies

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
K S Kennedy, C G Strom

Abstract

Postoperative bleeding after tonsillectomy is a problem that has earned the respect and cautious attention of the most experienced surgeons. The incidence of postoperative hemorrhage after tonsillectomy, as well as many factors affecting this incidence, has been extensively investigated. A possible factor that has not been well studied as a possible influence in postoperative tonsillectomy bleeding is the choice of anesthetic. A study was completed comparing the incidence of postoperative tonsillectomy bleeding between patients operated on using general anesthetic and local anesthetic. One hundred ninety-two patients consecutively undergoing tonsillectomy at Naval Hospital, Oakland, California, were included in the study. Three of 150 patients (3%) having general anesthesia and 13 of 87 patients (15%) having local anesthesia experienced postoperative bleeding. Possible factors influencing this difference in postoperative bleeding incidence are discussed. The possibility is suggested that surgeons (and previous reports) may underestimate the rates of postoperative bleeding as a result of patients being treated by other than the operating physician.

References

Nov 1, 1986·The Laryngoscope·S D HandlerC C Baranak
Nov 1, 1973·Archives of Otolaryngology·J D Williams, T H Pope
Jun 1, 1969·The Journal of Laryngology and Otology·K Breson, J Diepeveen
Oct 1, 1965·Archives of Otolaryngology·D W AlexanderE Kelley
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Citations

Aug 1, 1994·Clinical Otolaryngology and Allied Sciences·J De Carpentier, M Timms
Aug 19, 2008·Wiener klinische Wochenschrift·Christoph ArnoldnerBoban M Erovic
Apr 20, 2006·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·G MowattJ M Burr
Feb 5, 1998·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D A Randall, M E Hoffer
Oct 29, 2020·Journal of Family Medicine and Primary Care·Ali Maeed S Al-ShehriAmr Mohammed Saeed Munshet
Sep 1, 1995·The American Journal of Emergency Medicine·K G Steketee, E J Reisdorff

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