Intraoperative Use of QuikClot During Adenotonsillectomy A Prospective Pediatric Trial

Background:Achieving hemostatic control after intracapsular adenotonsillectomy with minimal cauterization may potentially lead to improved outcomes with respect to return to normal diet, normal activity, and less use of narcotic pain medications.Methods:A prospective, nonrandomized, consecutive series of children with obstructive tonsils and adenoids at a tertiary children’s hospital was undertaken.Results:One hundred consecutive children (52 boys/48 girls) ages 0-16 (mean = 4.8, SD = 3.7, median = 4.0) years were recruited with complete data available on all 100. Mean total procedure time was 19.8 (SD = 4.3, median = 19.5) minutes, including mean total cauterization time of 155.3 (SD = 59.7 seconds, median = 143.0) (adenoids: mean = 60.9, SD = 31.5, median = 53.0; tonsils: mean = 94.5, SD = 41.9, median = 82.0) minutes. Mean estimated blood loss was 29.4 (SD = 40.9, median = 25.0) ml. There were no major complications (0/100 episodes of bleeding or dehydration after surgery). Mean return to normal diet w...