SOP of Post Extraction Haemorrhage

SOP of Post Extraction Haemorrhage

Post extraction haemorrhage is the most common complication after extraction.

●        If the patient is calling from the home:

➢  Advice the patient to clear the mouth of any blood clot using sterile gauze piece /cotton.

➢      Tell him to rinse his mouth with warm salt water.

➢     Then instruct the patient to bite firmly on to sterile gauze piece /cotton or alternatively he can bite a tea bag (which has been placed on cold water) for a period of twenty minutes.

➢   If the bleeding persists at the end of this period advise him to report to the dental department.

●        When the patient has reported in the dental department

➢       Separate him from his anxious relatives and guide him to the dental chair.

➢       Cover him with the drape and make him comfortable and reassures him.

➢       Examine the site and amount of haemorrhage.

➢       Remove the excess blood clot by grasping it with a piece.

➢       If  the  site  of  bleeding is from surrounding  soft  tissue  then  apply  gauze  pack  soaked  with  adrenaline  and   tell  the patient  to bite  on it.

➢       If  bleeding  persists  and / or a tear is present in the  gingiva  then  do suturing across the socket ( tension suture  to apply  pressure  to the area) under local  anesthesia  over  a  pack of   gelatin.

➢       If  the  bleeding  is  from  the  bony  socket  (which  occur less frequently)  apply pressure  at  the  bleeding  site  using  or  blunt  instrument  (e.g.  dull side  of or curette)  to  crush  the  bony  channel containing   the  vessel.  Then  apply  haemostatic  agent  in the socket  and  patient   instructed  to  bite on or gauze pack  for 5 minutes  following  insertion  of a suture.

➢       Re examine the patient before discharging him.