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ORIGINAL ARTICLE
Year : 2022  |  Volume : 24  |  Issue : 2  |  Page : 56-60

Do we need to order prothrombin time/international normalized ratio and activated partial thromboplastin time for children undergoing adenotonsillar surgery?


1 Department of Otolaryngology Head & Neck Surgery, Al Jalila Children Specialty Hospital, Dubai - Uae 7662, United Arab Emirates
2 Mohammed Bin Rashid University, School of Medicine, Dubai - Uae 7662, United Arab Emirates
3 Department of Hematology/Oncology at Al Jalila Children Specialty Hospital, Dubai - Uae 7662, United Arab Emirates
4 Department of Otolaryngology Head & Neck Surgery, Al Jalila Children Specialty Hospital; Mohammed Bin Rashid University, School of Medicine, Dubai - Uae 7662, United Arab Emirates

Correspondence Address:
Prof. Mohamad A Bitar
Department of Otolaryngology Head and Neck Surgery, Al Jalila Children's Specialty Hospital, Dubai - Uae 7662
United Arab Emirates
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjoh.sjoh_1_22

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Objectives: The objectives of this study were to check the prevalence of abnormal preoperative bleeding tests in children planned for adenotonsillar surgery, highlight the workup, and describe the perioperative management for the confirmed cases. Subjects and Methods: This was a retrospective study. We reviewed the age, gender, test values, bleeding tendency, workup of affected patients, and perioperative management. Results: We reviewed 365 patients; 71 patients were found to have abnormal prothrombin time/international normalized ratio (PT/INR), activated partial thromboplastin time (aPTT), or both. There was no history of bleeding tendency. Thirty-six patients had a repeat of the abnormal tests, 17 were still abnormally high (>2 s), 19 normalized or had values decreased to <2 s; 9 had workup, and 6 found to have factor deficiencies. All but eight patients (who lost to follow-up) were operated uneventfully. Conclusion: Patients booked for adenotonsillar surgery need PT/INR and aPTT tested preoperatively. The patients with abnormal results are investigated according to an algorithm. Perioperative planning is essential to avoid intra- and postoperative complications.


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