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Title of Journal: Arch Otolaryngol Head Neck Surg

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Abbravation: Archives of Otolaryngology–Head & Neck Surgery

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American Medical Association

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Respiratory Difficulty Following Bismuth Subgallate Aspiration

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
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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 child's 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.



citation_title=Pitfall-to-avoid 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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