Interventions for treating post-extraction bleeding

Nagraj, Sumanth Kumbargere; Eachempati, Prashanti; Aggarwal, Himanshi; Ashok, L; Muthu, M S; Krishanappa, Salian Kiran Kumar; Hassan, Haszelini

doi:10.1002/14651858.cd011930.pub3

Cited by 33 publications

(13 citation statements)

References 46 publications

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“…These results disagree with Mehtar and Marais, (2011) who studied the policy to practice education in dealing with bleeding prevention and infection control. 12 These results are similar to a study done by Kumbargere, (2015) who analyzed that shortage of nursing staff and the decrease in the specialized training courses was the main causes 13 . In addition to the huge numbers of patients with leukemia admitted to the medical wards at Baghdad teaching hospitals.…”

Section: Discussionsupporting

confidence: 84%

Nurses’ Knowledge Concerning the Management of Bleeding in Patients with Leukemia

Safad R. Isam

2020

Indian Journal of Forensic Medicine & Toxicology

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To achieve the objectives of the study, a non -probability (purposive) sample of (50) nurses were selected those were working at the oncology wards at the above listed hospitals. The data selected according to the criteria of the study sample. The validity of the questionnaire was determined through an expert panel consists of ( 11) specialist expert and its reliability was determined through a pilot study by test -retest which was estimated as averages (R=0.89). Data was collected by direct interview technique using the questionnaire formal and data was analyzed by application of descriptive & inferential statistical methods (frequency, percentage, mean of score and Chi-Square). The results of the study indicated that most of the study sample were male (60%), (78%) within age group (20-29 years), (70%) were nursing college graduates and (62 %) has 1-3 years of experience at oncology wards. The results of the study indicated that the majority of the study sample had a low significance in items concerning nurses' knowledge about managements taken by nurse to avoid bleeding, and the majority of them had a moderate significant relationship between nurses' knowledge and the years of experience and training sessions inside and outside Iraq.

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Section: Discussionsupporting

confidence: 84%

Nurses’ Knowledge Concerning the Management of Bleeding in Patients with Leukemia

Safad R. Isam

2020

Indian Journal of Forensic Medicine & Toxicology

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“…This acute bleeding can’t be managed effectively by local compression or packing of the socket. However, most patients with postoperative bleeding present with slow and continuous oozing which can be controlled by local interventions [ 30 ]. The recommended local treatment procedures are provided for reference (Fig.…”

Section: Discussionmentioning

confidence: 99%

Uncontrollable bleeding after tooth extraction from asymptomatic mild hemophilia patients: two case reports

et al. 2022

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Background Uncontrollable bleeding after tooth extraction usually occurs in patients with coagulation diseases, including hemophilia, von Willebrand’s disease, vitamin K deficiency, platelet deficiency, and taking anticoagulant drugs. Hemophilia A is an X-linked recessive disorder caused by insufficiency of coagulation factor VIII. Mild hemophilia, defined by factor level between 0.05 and 0.40 IU/mL, is characterized by uncontrollable hemorrhage after trauma or invasive operations. Some mild hemophiliacs may remain undiagnosed until late adulthood. Therefore, surgical management of these patients may be relatively neglected. These case reports describe two uncontrollable bleeding patients with unknown mild hemophilia A after tooth extraction. Case presentation This paper reports 2 cases of persistent bleeding after tooth extraction under local anesthesia which could not be completely stopped by routine treatments. Both of them denied prior illness and injury, allergies, anticoagulant medication history, systemic and family illness. The APTT and other coagulation screening tests of the two patients before surgery were normal. Finally, they were diagnosed with mild hemophilia A via coagulation factor assays. The patients acquired complete hemostasis by receiving coagulation factor supplement therapy in hematologic department. Conclusion Mild hemophilia is marked by subclinical, asymptomatic and even normal coagulation test results. The purpose of these case reports is to bring dental professionals’ attention that APTT test alone cannot be used to exclude mild hemophilia, and provide reasonable evaluation and treatment procedures of bleeding patients after tooth extraction.

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“…Moreover, telephone follow-up allows to inquire not only into bleeding but all other post-surgical signs and symptoms such as pain, discomfort, swelling, exudation, and bad taste, in order to assess whether the post-surgical course is normal or not, since infection and inflammation are the main causes of clot dissolution and subsequent bleeding ( 14 ). In fact, the telephone questionnaire allowed to monitor the temporal trend of patient post-extraction pain and swelling, demonstrating a physiological decrease over time in the number of patients who perceived pain, from 60.16% at the first follow-up contact to 16.5% at the fourth ( Table 3 ), but with an average score of approximately 5.…”

Section: Discussionmentioning

confidence: 99%

Is telephone follow-up useful in preventing post-extraction bleeding in patients on antithrombotic treatment?

et al. 2021

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Background The aim of the study was to investigate the usefulness of telephone follow-up in preventing post-extraction bleeding and improving wound healing in patients on chronic antithrombotic treatment. Material and Methods A prospective randomized clinical trial was carried out on 256 patients (test group = 128; control group = 128). The exact two-tailed Fisher test and the two-tailed non-parametric Mann-Whitney test were used for statistical analysis. Results The incidence of post-extraction bleeding was 15.6% and there was no difference between test and control groups. However, the study group was significantly, though weakly, associated with the severity of bleeding. Patient satisfaction with post-operative follow-up differed significantly between patients who had and those who did not have post-extraction bleeding. Conclusions Telephone follow-up after tooth extraction may play a role in the prevention of severe post-operative bleeding as well as in monitoring and managing the surgical wound. Key words: Post-operative instructions, patient satisfaction, wound healing.

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Interventions for treating post-extraction bleeding

Cited by 33 publications

References 46 publications

Nurses’ Knowledge Concerning the Management of Bleeding in Patients with Leukemia

Nurses’ Knowledge Concerning the Management of Bleeding in Patients with Leukemia

Uncontrollable bleeding after tooth extraction from asymptomatic mild hemophilia patients: two case reports

Is telephone follow-up useful in preventing post-extraction bleeding in patients on antithrombotic treatment?

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