Tranexamic acid and beyond: A systematic review of pediatric post-tonsillectomy hemorrhage protocols and introduction of a universal management guideline.

Summary

A systematic review of 12 publicly available paediatric hospital protocols for post-tonsillectomy haemorrhage, focusing on the use of nebulised and intravenous tranexamic acid, leading to a proposed universal management guideline. It covers escalation pathways including when to involve interventional radiology and PICU, and when to return to theatre. Relevant to PICU teams who may receive children with airway compromise or significant bleeding after tonsillectomy, though it is principally an ENT/perioperative document.

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