Casper G A Klein Nulent, Henri J D de Graaff, Rein Ketelaars, Aniel Sewnaik, Iscander M Maissan
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.
August 15, 2016: A & A Case Reports