Journal Title
Title of Journal: Arch Otolaryngol Head Neck Surg
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Abbravation: Archives of Otolaryngology–Head & Neck Surgery
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Publisher
American Medical Association
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Authors: Alan D Murray Scott R Gibbs Kathleen R Billings Michael J Biavati
Publish Date: 2000/01/01
Volume: 126, Issue: 1, Pages: 79-81
Abstract
Bismuth subgallate an agent that initiates clotting via activation of factor XII has been advocated for use in controlling bleeding during tonsillectomy and adenoidectomy Direct aspiration of bismuth has produced pulmonary complications in laboratory animals but no clinical correlation in humans has been previously described We report 2 cases of bismuth aspiration that resulted in respiratory difficulty after tonsillectomy and adenoidectomy Neither childs respiratory compromise required airway intubation This report of pulmonary complications secondary to bismuth aspiration should alert surgeons to the potential for airway problems when using bismuth as a hemostatic agent for tonsillectomy and adenoidectomy
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References
citation title=Pitfalltoavoid pharyngeal opacities caused by bismuth subgallate citation author=Tannous WN citation author=Azouz M citation author=Tewfik TL Can Assoc Radiol J citation year=1989 citation volume=40 citation pages=312
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