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October 1950


Author Affiliations

From the Department of Otolaryngology, Hospital of the University of Pennsylvania.

AMA Arch Otolaryngol. 1950;52(4):642-645. doi:10.1001/archotol.1950.00700030666012

The following case report of a death after tonsillectomy is presented largely because it serves to emphasize a number of important features in the immediate postoperative management of patients subjected to tonsillectomy under general anesthesia.

REPORT OF A CASE  E. C., a Negro child aged 7, female, was admitted to the hospital from the otolaryngology outpatient department with a history of frequent colds and sore throats for the past two years, snoring, mouth breathing and occasional cough. The most recent acute episode was said to have been about six weeks prior to her admission to the hospital. Physical examination revealed a thin, lethargic child but no obvious abnormalities of the heart, lungs or abdominal system. The tonsils were enlarged with considerable debris in the crypts and injection of the anterior pillars. The ears and nose showed no significant abnormalities. The adenoids were grossly enlarged to palpation. The laboratory data indicated

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