Anesthetic Management During Emergency Surgical Ligation for Carotid Blowout Syndrome.

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Anesthetic Management During Emergency Surgical Ligation for Carotid Blowout Syndrome.

A A Case Rep. 2016 Aug 15;7(4):85-8

Authors: Klein Nulent CG, de Graaff HJ, Ketelaars R, Sewnaik A, Maissan IM

Abstract
A 44-year-old man presented to our emergency department with a pharyngeal hemorrhage, 6 weeks after a total laryngectomy and extensive neck dissection. Immediate surgical intervention was necessary to stop massive arterial hemorrhage from the pharynx. The head and neck surgeon successfully ligated the common carotid artery during this procedure. We describe the anesthetic strategy and the thromboelastometry (ROTEM®)-guided massive transfusion protocol.

PMID: 27310900 [PubMed - indexed for MEDLINE]

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