Post-Operative Care for Tonsillectomy Patients
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Questions and Answers

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?

    <p>Risk of aspiration</p> Signup and view all the answers

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

    <p>Hemoglobin and cross-match for blood transfusion</p> Signup and view all the answers

    Why should IV fluids be administered cautiously during adenotonsillectomy?

    <p>To prevent hypovolemia due to blood loss</p> Signup and view all the answers

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

    <p>Failure to thrive</p> Signup and view all the answers

    Which analgesic options are recommended for postoperative analgesia after adenotonsillectomy?

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

    How is bleeding managed postoperatively after adenotonsillectomy?

    <p>Beware of excessive bleeding and respond accordingly</p> Signup and view all the answers

    What resuscitation options are recommended for bleeding during adenotonsillectomy?

    <p>Ensure reliable IV access and consider additional interventions if needed</p> Signup and view all the answers

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

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

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

    <p>IV induction with sevoflurane</p> Signup and view all the answers

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

    <p>Increased bleeding risk</p> Signup and view all the answers

    How is bleeding managed after adenotonsillectomy?

    <p>Using wide-bore gastric tube after bleeding stops</p> Signup and view all the answers

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

    <p>Nasopharyngeal pack secured through the nose</p> Signup and view all the answers

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

    <p>IPPV-relaxant technique</p> Signup and view all the answers

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

    <p>Avoid oral NSAID use</p> Signup and view all the answers

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

    <p>10º head-up position</p> Signup and view all the answers

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