Controversy re the role of routine preop
screening for U/L bleeding disorder
n Bolger et al found 6 coagulation disorders in 52 pts
undergoing preop screening for adenotonsillectomy.
recommended preop screening in all patients
n In a retrospective review of 994 patients, Manning et al
found that preop PT/PTT failed to identify any patients
with occult coagulopathies.
n Burk et al performed a retrospective review of 1603
patients undergoing adenotonsillectomy. Preoperative
screening , a careful bleeding history is used to identify
any potential bleeding disorders and guide further
laboratory disorders.