A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult

Introduction: Post-tonsillectomy hemorrhage is a potentially life-threatening, postoperative complication that is commonly encountered in the emergency department (ED). Case Report: Herein, we describe the case of a 22-year-old male who presented to the ED with an active post-tonsillectomy hemorrhag...

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Main Authors: Michael Poppe, Felipe Grimaldo
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-08-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/5fc0z5rx
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author Michael Poppe
Felipe Grimaldo
author_facet Michael Poppe
Felipe Grimaldo
author_sort Michael Poppe
collection DOAJ
description Introduction: Post-tonsillectomy hemorrhage is a potentially life-threatening, postoperative complication that is commonly encountered in the emergency department (ED). Case Report: Herein, we describe the case of a 22-year-old male who presented to the ED with an active post-tonsillectomy hemorrhage. He rapidly became hypotensive and experienced an episode of syncope. Immediate interventions included intravenous fluids, emergency release blood and nebulized tranexamic acid (TXA). After completion of the nebulized TXA, the patient’s bleeding was controlled. Conclusion: To our knowledge, this is the first case in the emergency medicine literature that describes the use of nebulized TXA in an adult to achieve hemostasis in post-tonsillectomy hemorrhage.
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spelling doaj.art-fee9a34041394fc8be8970c509d1fb042022-12-22T00:46:05ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-08-014310.5811/cpcem.2020.6.47676cpcem-04-443A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an AdultMichael PoppeFelipe GrimaldoIntroduction: Post-tonsillectomy hemorrhage is a potentially life-threatening, postoperative complication that is commonly encountered in the emergency department (ED). Case Report: Herein, we describe the case of a 22-year-old male who presented to the ED with an active post-tonsillectomy hemorrhage. He rapidly became hypotensive and experienced an episode of syncope. Immediate interventions included intravenous fluids, emergency release blood and nebulized tranexamic acid (TXA). After completion of the nebulized TXA, the patient’s bleeding was controlled. Conclusion: To our knowledge, this is the first case in the emergency medicine literature that describes the use of nebulized TXA in an adult to achieve hemostasis in post-tonsillectomy hemorrhage.https://escholarship.org/uc/item/5fc0z5rx
spellingShingle Michael Poppe
Felipe Grimaldo
A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult
Clinical Practice and Cases in Emergency Medicine
title A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult
title_full A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult
title_fullStr A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult
title_full_unstemmed A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult
title_short A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult
title_sort case report of nebulized tranexamic acid for post tonsillectomy hemorrhage in an adult
url https://escholarship.org/uc/item/5fc0z5rx
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