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.