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Ann Emerg Med. 2018 Oct 3. pii: S0196-0644(18)31165-X. doi: 10.1016/j.annemergmed.2018.08.429. [Epub ahead of print]

Nebulized Tranexamic Acid Use for Pediatric Secondary Post-Tonsillectomy Hemorrhage.

Author information

1
Dell Children's Medical Center, University of Texas at Austin Dell Medical School, Austin, TX. Electronic address: wwroe87@gmail.com.
2
Dell Children's Medical Center, University of Texas at Austin Dell Medical School, Austin, TX.

Abstract

Post-tonsillectomy hemorrhage is a frequent occurrence in the emergency department, and management of potentially life-threatening and ongoing bleeding by the emergency physician is challenging. Limited evidence-based guidelines exist, and practice patterns vary widely. We administered nebulized tranexamic acid to achieve hemostasis in a pediatric patient with associated bleeding cessation prior to definitive operative management.

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