Question

A post tonsillectomy child was lying in the ward. He started bleeding in the ward. Which of the following should be done

• A. Take to OT, remove the clot & re-ligation
• B. . Take to OT & pressure packing
• C. Cautery
• D. Conservative management

Answer 1

The Correct Option is A

In the case of post-tonsillectomy bleeding, immediate and effective management is crucial to prevent significant blood loss and other complications. The correct approach is as follows:

Step-by-Step Management:

1. Assessment: First, assess the child to confirm active bleeding and rule out other complications. Monitor vital signs and ensure that the airway is secure.
2. Immediate Actions: If bleeding persists, the best course of action is to take the child to the operating theater (OT) for definitive management. This helps in maintaining strict asepsis and close monitoring of the patient's status.
3. Surgical Intervention: In the OT, the procedure involves removing the clot from the bleeding site. This step is essential to accurately identify the source of the hemorrhage.
4. Re-ligation: After identifying the source, re-ligate the bleeding vessel to stop further bleeding. Precision is key in ensuring that the source is adequately controlled.

Among the provided options, "Take to OT, remove the clot & re-ligation" is the most appropriate and effective management strategy for post-tonsillectomy hemorrhage in this scenario.