Post-Operative Care for Tonsillectomy Patients

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What is the recommended position for extubating a patient post-tonsillectomy?

Supine position

Prone position

Right lateral position

Left lateral/head-down (tonsil position) (correct)

Which medication is initially recommended for analgesia post-tonsillectomy?

Dexmedetomidine

NSAIDs

Morphine (correct)

Oral paracetamol

What is advised to avoid in the post-operative care of adenotonsillectomy patients to prevent bleeding?

Blind pharyngeal suction with a rigid sucker (correct)

Leaving the IV cannula in place

Use of NSAIDs for pain relief

Infiltration of the tonsil bed with local anesthetic

What complication may arise from bleeding after adenotonsillectomy that may not be immediately apparent?

Risk of aspiration Signup and view all the answers

What should be checked preoperatively for a patient at risk of bleeding during adenotonsillectomy?

Hemoglobin and cross-match for blood transfusion Signup and view all the answers

Why should IV fluids be administered cautiously during adenotonsillectomy?

To prevent hypovolemia due to blood loss Signup and view all the answers

What are some potential complications of untreated tonsillar and adenoidal hyperplasia?

Failure to thrive Signup and view all the answers

Which analgesic options are recommended for postoperative analgesia after adenotonsillectomy?

Morphine or fentanyl titrated IV plus paracetamol/ NSAID PR Signup and view all the answers

How is bleeding managed postoperatively after adenotonsillectomy?

Beware of excessive bleeding and respond accordingly Signup and view all the answers

What resuscitation options are recommended for bleeding during adenotonsillectomy?

Ensure reliable IV access and consider additional interventions if needed Signup and view all the answers

What is a practical technique for securing airways during tonsillectomy for a child?

Place the tube in the groove of a split blade of Boyle–Davis gag Signup and view all the answers

What type of anesthesia induction is recommended for tonsillectomy in children?

IV induction with sevoflurane Signup and view all the answers

What is a common post-operative consideration after tonsillectomy in adults?

Increased bleeding risk Signup and view all the answers

How is bleeding managed after adenotonsillectomy?

Using wide-bore gastric tube after bleeding stops Signup and view all the answers

What may be needed if bleeding from adenoids cannot be controlled?

Nasopharyngeal pack secured through the nose Signup and view all the answers

What technique is commonly used for resuscitation in the event of severe bleeding during adenotonsillectomy?

IPPV-relaxant technique Signup and view all the answers

What is the usual recommendation for the use of preoperative NSAIDs in tonsillectomy procedures?

Avoid oral NSAID use Signup and view all the answers

In what position is the patient usually placed during nasal operations to reduce bleeding?

10º head-up position Signup and view all the answers