КРОВОТЕЧЕНИЕ ПОСЛЕ ОПЕРАЦИЙ НА ЛИМФАТИЧЕСКОМ ГЛОТОЧНОМ КОЛЬЦЕ У ДЕТЕЙ
Обзорная статья
Дата публикации: марта 28, 2024
Ключевые слова
послеоперационное кровотечение
педиатрия
лимфатическое глоточное кольцо
педиатрия
лимфатическое глоточное кольцо
Как цитировать
Агафонов В. Н., Якушенкова А. П., Пасечник И. Н., Тимашков Д. А., Лазарева Л. Е. КРОВОТЕЧЕНИЕ ПОСЛЕ ОПЕРАЦИЙ НА ЛИМФАТИЧЕСКОМ ГЛОТОЧНОМ КОЛЬЦЕ У ДЕТЕЙ // Кремлевская медицина. Клинический вестник. 2024. Т. № 1. С. 33-39.
Аннотация
Оперативные вмешательства на лимфатическом глоточном кольце являются одними из наиболее распространенных операций, выполняемых у детей во всем мире. Боль, послеоперационная тошнота и рвота (ПОТР) и кровотечение — три самых распространенных осложнения после ЛОР-операций в педиатрической практике. Послеоперационное кровотечение является наименее распространенным из вышеперечисленных, но серьезным осложнением после хирургических вмешательств на лимфатическом глоточном кольце у детей, иногда требующим повторной операции. Несмотря на большое количество оперативных вмешательств и потенциальную смертность, связанную с кровотечением после операций на лимфатическом глоточном кольце, имеется мало данных о подходах к лечению, при возникновении этого осложнения, и не существует единых практических рекомендаций. Целью данного обзора является определение современной тактики ведения детей при послеоперационных кровотечениях.Литература
1. Mitchell R. B. et al. Clinical practice guideline: tonsillectomy in children (update)—executive summary //Otolaryngology–Head and Neck Surgery. – 2019. – V. 160. – №. 2. – P. 187-205. doi: 10.1177/0194599818801757
2. Дайхес Н. А. и др. Состояние оториноларингологической службы Российской Федерации //Российская оториноларингология. – 2019. – Т. 18. – №. 3 (100). – С. 9-16. Daikhes N. A. et al. The state of otorhinolaryngological service of the Russian Federation. Rossiiskaya otorinolaringologiya. – 2019. – V. 18. – №. 3 (100). – P. 9-16. doi: 10.18692/1810-4800-2019-3-9-16
3. Taziki M. H. et al. Prevalence of post-tonsillectomy hemorrhage in adults and children //Journal of Clinical and Basic Research. – 2020. – V. 4. – №. 2. – P. 20-26. doi: 10.52547/jcbr.4.2.20
4. Xu B. et al. Primary and secondary postoperative hemorrhage in pediatric tonsillectomy //World Journal of Clinical Cases. – 2021. – V. 9. – №. 7. – P. 1543. doi: 10.12998/wjcc.v9.i7.1543
5. Billings K. R. et al. Outcomes of a postoperative data‐extraction questionnaire after adenotonsillectomy in children //The Laryngoscope. – 2021. – V. 131. – №. 11. – P. E2821-E2826. doi: 10.1002/lary.29626
6. Čampara A. J. et al. Hemorrhage after adenotonsillectomy in children: tertiary center experiences //Wiener Medizinische Wochenschrift. – 2022. – V. 172. – №. 13-14. – P. 317-321. doi: 10.1007/s10354-022-00945-y
7. Gonçalves A. I. et al. Evaluation of post-tonsillectomy hemorrhage and assessment of risk factors //European Archives of Oto-Rhino-Laryngology. – 2020. – V. 277. – P. 3095-3102. doi: 10.1007/s00405-020-06060-1
8. Alraho T. S., Mohsin F. D., Alharbawi A. F. Risk of post adenotonsillectomy hemorrhage of ibuprofen in comparison to acetaminophen in children. – 2019. – V. 8. – №. 4. – P. 56-58
9. Ingram D. G., Friedman N. R. Toward adenotonsillectomy in children: a review for the general pediatrician //JAMA pediatrics. – 2015. – V. 169. – №. 12. – P. 1155-1161. doi: 10.1001/jamapediatrics.2015.2016
10. Pynnonen M. et al. Coblation versus other surgical techniques for tonsillectomy //Cochrane database of systematic reviews. – 2017. – №. 8. doi: 3
11. Vicini C. et al. Powered intracapsular tonsillotomy vs. conventional extracapsular tonsillectomy for pediatric OSA: a retrospective study about efficacy, complications and quality of life //International journal of pediatric otorhinolaryngology. – 2015. – V. 79. – №. 7. – P. 1106-1110. doi: 10.1016/j.ijporl.2015.04.041
12. Gutierrez J. A. et al. The Impact of Surgical Indication on Posttonsillectomy Hemorrhage: A Systematic Review and Meta‐Analysis //Otolaryngology–Head and Neck Surgery. – 2023. doi: 10.1002/ohn.339
13. Chorney S. R. et al. Post‐Tonsillectomy Hemorrhage and the Diagnosis of Occult Pediatric Coagulopathies //The Laryngoscope. – 2021. – V. 131. – №. 6. – P. E2069-E2073. doi: 10.1002/lary.29244
14. Burckardt E. et al. Predictors for hemorrhage following pediatric adenotonsillectomy //International Journal of Pediatric Otorhinolaryngology. – 2019. – V. 117. – P. 143-147. doi: 10.1016/j.ijporl.2018.11.029
15. Brown Z. E., Chadha N. K. Update on ENT anaesthesia in children //Anaesthesia & Intensive Care Medicine. – 2021. – V. 22. – №. 11. – P. 723-728. doi: 10.1016/j.mpaic.2021.07.019
16. Çelikal Ö., Eroğlu E., Günaydın R. Ö. Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques //Allergy. – 2023. – V. 6. – №. 2. – P. 48-48. doi: 10.5152/ejra.2023.23091
17. Dolinaj V. Airway Management, Ventilation and Complications in Paediatric ENT Anaesthesia //9th Annual Spring Scientific Symposium in Anesthesiology and Intensive Care. – 2019. – P. 12.
18. Fields R. G., Gencorelli F. J., Litman R. S. Anesthetic management of the pediatric bleeding tonsil //Pediatric Anesthesia. – 2010. – V. 20. – №. 11. – P. 982-986. doi: 10.1111/j.1460-9592.2010.03426.x
19. Kemper M. E. et al. Classical versus controlled rapid sequence induction and intubation in children with bleeding tonsils (a retrospective audit) //Acta Anaesthesiologica Scandinavica. – 2020. – V. 64. – №. 1. – P. 41-47. doi: 10.1111/aas.13473
20. Gencorelli F. J., Fields R. G., Litman R. S. Complications during rapid sequence induction of general anesthesia in children: a benchmark study //Pediatric Anesthesia. – 2010. – V. 20. – №. 5. – P. 421-424. doi: 10.1111/j.1460-9592.2010.03287.x
21. Neuhaus D. et al. Controlled rapid sequence induction and intubation–an analysis of 1001 children //Pediatric Anesthesia. – 2013. – V. 23. – №. 8. – P. 734-740. doi: 10.1111/pan.12213
22. Avery P. et al. Rapid sequence induction: where did the consensus go? //Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. – 2021. – V. 29. – №. 1. – P. 64. doi: 10.1186/s13049-021-00883-5
23. Lee A. C., Haché M. Pediatric anesthesia management for post-tonsillectomy bleed: current status and future directions //International journal of general medicine. – 2022. – С. 63-69. doi: 10.2147/IJGM.S312866
24. Butt M. N., Hoda M. Q. Knowledge, training and practice of cricoid pressure application by the anesthesiologists of teaching hospitals of a developing country: A national survey //Anaesthesia, Pain & Intensive Care. – 2019. – P. 151-156. doi: 10.35975/apic.v23i2.1058
25. Warner M. A. et al. Perioperative pulmonary aspiration in infants and children //The Journal of the American Society of Anesthesiologists. – 1999. – V. 90. – №. 1. – P. 66-71. doi: 10.1097/00000542-199901000-00011
26. Windfuhr J. P. et al. Lethal outcome of post-tonsillectomy hemorrhage //European archives of oto-rhino-laryngology. – 2008. – V. 265. – P. 1527-1534. doi: 10.1007/s00405-008-0699-4
27. Bangera A. Anaesthesia for adenotonsillectomy: An update //Indian Journal of Anaesthesia. – 2017. – V. 61. – №. 2. – P. 103. doi: 10.4103/0019-5049.199855
28. Stokes W. et al. Postoperative bleeding associated with ibuprofen use after tonsillectomy: a meta-analysis //Otolaryngology–Head and Neck Surgery. – 2019. – V. 161. – №. 5. – P. 734-741. doi: 10.1177/0194599819852328
29. Sheth K. R. et al. Perioperative bleeding and non-steroidal anti-inflammatory drugs: An evidence-based literature review, and current clinical appraisal //Medicine. – 2020. – V. 99. – №. 31. doi: 10.1097/MD.0000000000020042
30. Diercks G. R. et al. Comparison of ibuprofen vs acetaminophen and severe bleeding risk after pediatric tonsillectomy: a noninferiority randomized clinical trial //JAMA Otolaryngology–Head & Neck Surgery. – 2019. – V. 145. – №. 6. – P. 494-500. doi: 10.1001/jamaoto.2019.0269
31. Rabbani C. C. et al. Intraoperative ketorolac for pediatric tonsillectomy: effect on post-tonsillectomy hemorrhage and perioperative analgesia //International Journal of Pediatric Otorhinolaryngology. – 2020. – V. 138. – P. 110341. doi: 10.1016/j.ijporl.2020.110341
32. Relke N., Chornenki N. L. J., Sholzberg M. Tranexamic acid evidence and controversies: an illustrated review //Research and Practice in Thrombosis and Haemostasis. – 2021. – V. 5. – №. 5. – P. e12546. doi: 10.1002/rth2.12546
33. Kuo C. C., DeGiovanni J. C., Carr M. M. The efficacy of tranexamic acid administration in patients undergoing tonsillectomy: an updated meta-analysis //Annals of Otology, Rhinology & Laryngology. – 2022. – Т. 131. – №. 8. – С. 834-843. doi: 10.1177/00034894211045
34. Агафонов В.Н. и др. Программа ускоренного восстановления при хирургическом лечении хронических болезней лимфоэпителиального глоточного кольца у детей // Тезисы XV Конгресса Российского общества Ринологов, Москва, 30 июня-1 июля 2023г. Agafonov V. N. et al. Enhanced recovery after surgery protocols of chronic diseases of the lymphoepithelial pharyngeal ring in children // Abstracts of the XV Congress of the Russian Society of Rhinologists, Moscow, June 30-July 1, 2023 https://medq.ru/files/shares/1%20ТЕЗИСЫ.pdf.
35. Erwin D. Z. et al. Post-tonsillectomy hemorrhage control with nebulized tranexamic acid: a retrospective cohort study //International Journal of Pediatric Otorhinolaryngology. – 2021. – V. 147. – P. 110802. doi: 10.1016/j.ijporl.2021.110802
36. Лейзерман В. Г., Артемова Н. Э., Лейзерман М. Г. Гемоблок, как средство ускорения реабилитации после тонзиллэктомии //Евразийский Союз Ученых. – 2020. – №. 2-3 (71). – С. 37-38. Leyzerman V. G., Artemova N.E., Leyzerman M. G. Hemoblock es an acceleration cure for rehabilitation after tonsillectomy //Evraziyskiy soyuz uchenyh. – 2020. – №. 2-3 (71). – P. 37-38. [In Russian]. doi: 10.31618/ESU.2413-9335.2020.3.71.591
2. Дайхес Н. А. и др. Состояние оториноларингологической службы Российской Федерации //Российская оториноларингология. – 2019. – Т. 18. – №. 3 (100). – С. 9-16. Daikhes N. A. et al. The state of otorhinolaryngological service of the Russian Federation. Rossiiskaya otorinolaringologiya. – 2019. – V. 18. – №. 3 (100). – P. 9-16. doi: 10.18692/1810-4800-2019-3-9-16
3. Taziki M. H. et al. Prevalence of post-tonsillectomy hemorrhage in adults and children //Journal of Clinical and Basic Research. – 2020. – V. 4. – №. 2. – P. 20-26. doi: 10.52547/jcbr.4.2.20
4. Xu B. et al. Primary and secondary postoperative hemorrhage in pediatric tonsillectomy //World Journal of Clinical Cases. – 2021. – V. 9. – №. 7. – P. 1543. doi: 10.12998/wjcc.v9.i7.1543
5. Billings K. R. et al. Outcomes of a postoperative data‐extraction questionnaire after adenotonsillectomy in children //The Laryngoscope. – 2021. – V. 131. – №. 11. – P. E2821-E2826. doi: 10.1002/lary.29626
6. Čampara A. J. et al. Hemorrhage after adenotonsillectomy in children: tertiary center experiences //Wiener Medizinische Wochenschrift. – 2022. – V. 172. – №. 13-14. – P. 317-321. doi: 10.1007/s10354-022-00945-y
7. Gonçalves A. I. et al. Evaluation of post-tonsillectomy hemorrhage and assessment of risk factors //European Archives of Oto-Rhino-Laryngology. – 2020. – V. 277. – P. 3095-3102. doi: 10.1007/s00405-020-06060-1
8. Alraho T. S., Mohsin F. D., Alharbawi A. F. Risk of post adenotonsillectomy hemorrhage of ibuprofen in comparison to acetaminophen in children. – 2019. – V. 8. – №. 4. – P. 56-58
9. Ingram D. G., Friedman N. R. Toward adenotonsillectomy in children: a review for the general pediatrician //JAMA pediatrics. – 2015. – V. 169. – №. 12. – P. 1155-1161. doi: 10.1001/jamapediatrics.2015.2016
10. Pynnonen M. et al. Coblation versus other surgical techniques for tonsillectomy //Cochrane database of systematic reviews. – 2017. – №. 8. doi: 3
11. Vicini C. et al. Powered intracapsular tonsillotomy vs. conventional extracapsular tonsillectomy for pediatric OSA: a retrospective study about efficacy, complications and quality of life //International journal of pediatric otorhinolaryngology. – 2015. – V. 79. – №. 7. – P. 1106-1110. doi: 10.1016/j.ijporl.2015.04.041
12. Gutierrez J. A. et al. The Impact of Surgical Indication on Posttonsillectomy Hemorrhage: A Systematic Review and Meta‐Analysis //Otolaryngology–Head and Neck Surgery. – 2023. doi: 10.1002/ohn.339
13. Chorney S. R. et al. Post‐Tonsillectomy Hemorrhage and the Diagnosis of Occult Pediatric Coagulopathies //The Laryngoscope. – 2021. – V. 131. – №. 6. – P. E2069-E2073. doi: 10.1002/lary.29244
14. Burckardt E. et al. Predictors for hemorrhage following pediatric adenotonsillectomy //International Journal of Pediatric Otorhinolaryngology. – 2019. – V. 117. – P. 143-147. doi: 10.1016/j.ijporl.2018.11.029
15. Brown Z. E., Chadha N. K. Update on ENT anaesthesia in children //Anaesthesia & Intensive Care Medicine. – 2021. – V. 22. – №. 11. – P. 723-728. doi: 10.1016/j.mpaic.2021.07.019
16. Çelikal Ö., Eroğlu E., Günaydın R. Ö. Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques //Allergy. – 2023. – V. 6. – №. 2. – P. 48-48. doi: 10.5152/ejra.2023.23091
17. Dolinaj V. Airway Management, Ventilation and Complications in Paediatric ENT Anaesthesia //9th Annual Spring Scientific Symposium in Anesthesiology and Intensive Care. – 2019. – P. 12.
18. Fields R. G., Gencorelli F. J., Litman R. S. Anesthetic management of the pediatric bleeding tonsil //Pediatric Anesthesia. – 2010. – V. 20. – №. 11. – P. 982-986. doi: 10.1111/j.1460-9592.2010.03426.x
19. Kemper M. E. et al. Classical versus controlled rapid sequence induction and intubation in children with bleeding tonsils (a retrospective audit) //Acta Anaesthesiologica Scandinavica. – 2020. – V. 64. – №. 1. – P. 41-47. doi: 10.1111/aas.13473
20. Gencorelli F. J., Fields R. G., Litman R. S. Complications during rapid sequence induction of general anesthesia in children: a benchmark study //Pediatric Anesthesia. – 2010. – V. 20. – №. 5. – P. 421-424. doi: 10.1111/j.1460-9592.2010.03287.x
21. Neuhaus D. et al. Controlled rapid sequence induction and intubation–an analysis of 1001 children //Pediatric Anesthesia. – 2013. – V. 23. – №. 8. – P. 734-740. doi: 10.1111/pan.12213
22. Avery P. et al. Rapid sequence induction: where did the consensus go? //Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. – 2021. – V. 29. – №. 1. – P. 64. doi: 10.1186/s13049-021-00883-5
23. Lee A. C., Haché M. Pediatric anesthesia management for post-tonsillectomy bleed: current status and future directions //International journal of general medicine. – 2022. – С. 63-69. doi: 10.2147/IJGM.S312866
24. Butt M. N., Hoda M. Q. Knowledge, training and practice of cricoid pressure application by the anesthesiologists of teaching hospitals of a developing country: A national survey //Anaesthesia, Pain & Intensive Care. – 2019. – P. 151-156. doi: 10.35975/apic.v23i2.1058
25. Warner M. A. et al. Perioperative pulmonary aspiration in infants and children //The Journal of the American Society of Anesthesiologists. – 1999. – V. 90. – №. 1. – P. 66-71. doi: 10.1097/00000542-199901000-00011
26. Windfuhr J. P. et al. Lethal outcome of post-tonsillectomy hemorrhage //European archives of oto-rhino-laryngology. – 2008. – V. 265. – P. 1527-1534. doi: 10.1007/s00405-008-0699-4
27. Bangera A. Anaesthesia for adenotonsillectomy: An update //Indian Journal of Anaesthesia. – 2017. – V. 61. – №. 2. – P. 103. doi: 10.4103/0019-5049.199855
28. Stokes W. et al. Postoperative bleeding associated with ibuprofen use after tonsillectomy: a meta-analysis //Otolaryngology–Head and Neck Surgery. – 2019. – V. 161. – №. 5. – P. 734-741. doi: 10.1177/0194599819852328
29. Sheth K. R. et al. Perioperative bleeding and non-steroidal anti-inflammatory drugs: An evidence-based literature review, and current clinical appraisal //Medicine. – 2020. – V. 99. – №. 31. doi: 10.1097/MD.0000000000020042
30. Diercks G. R. et al. Comparison of ibuprofen vs acetaminophen and severe bleeding risk after pediatric tonsillectomy: a noninferiority randomized clinical trial //JAMA Otolaryngology–Head & Neck Surgery. – 2019. – V. 145. – №. 6. – P. 494-500. doi: 10.1001/jamaoto.2019.0269
31. Rabbani C. C. et al. Intraoperative ketorolac for pediatric tonsillectomy: effect on post-tonsillectomy hemorrhage and perioperative analgesia //International Journal of Pediatric Otorhinolaryngology. – 2020. – V. 138. – P. 110341. doi: 10.1016/j.ijporl.2020.110341
32. Relke N., Chornenki N. L. J., Sholzberg M. Tranexamic acid evidence and controversies: an illustrated review //Research and Practice in Thrombosis and Haemostasis. – 2021. – V. 5. – №. 5. – P. e12546. doi: 10.1002/rth2.12546
33. Kuo C. C., DeGiovanni J. C., Carr M. M. The efficacy of tranexamic acid administration in patients undergoing tonsillectomy: an updated meta-analysis //Annals of Otology, Rhinology & Laryngology. – 2022. – Т. 131. – №. 8. – С. 834-843. doi: 10.1177/00034894211045
34. Агафонов В.Н. и др. Программа ускоренного восстановления при хирургическом лечении хронических болезней лимфоэпителиального глоточного кольца у детей // Тезисы XV Конгресса Российского общества Ринологов, Москва, 30 июня-1 июля 2023г. Agafonov V. N. et al. Enhanced recovery after surgery protocols of chronic diseases of the lymphoepithelial pharyngeal ring in children // Abstracts of the XV Congress of the Russian Society of Rhinologists, Moscow, June 30-July 1, 2023 https://medq.ru/files/shares/1%20ТЕЗИСЫ.pdf.
35. Erwin D. Z. et al. Post-tonsillectomy hemorrhage control with nebulized tranexamic acid: a retrospective cohort study //International Journal of Pediatric Otorhinolaryngology. – 2021. – V. 147. – P. 110802. doi: 10.1016/j.ijporl.2021.110802
36. Лейзерман В. Г., Артемова Н. Э., Лейзерман М. Г. Гемоблок, как средство ускорения реабилитации после тонзиллэктомии //Евразийский Союз Ученых. – 2020. – №. 2-3 (71). – С. 37-38. Leyzerman V. G., Artemova N.E., Leyzerman M. G. Hemoblock es an acceleration cure for rehabilitation after tonsillectomy //Evraziyskiy soyuz uchenyh. – 2020. – №. 2-3 (71). – P. 37-38. [In Russian]. doi: 10.31618/ESU.2413-9335.2020.3.71.591