{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T03:43:47Z","timestamp":1777779827972,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,11,25]],"date-time":"2014-11-25T00:00:00Z","timestamp":1416873600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Achieving hemostatic control after intracapsular adenotonsillectomy with minimal cauterization may potentially lead to improved outcomes with respect to return to normal diet, normal activity, and less use of narcotic pain medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective, nonrandomized, consecutive series of children with obstructive tonsils and adenoids at a tertiary children\u2019s hospital was undertaken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred consecutive children (52 boys\/48 girls) ages 0-16 (mean = 4.8, SD = 3.7, median = 4.0) years were recruited with complete data available on all 100. Mean total procedure time was 19.8 (SD = 4.3, median = 19.5) minutes, including mean total cauterization time of 155.3 (SD = 59.7 seconds, median = 143.0) (adenoids: mean = 60.9, SD = 31.5, median = 53.0; tonsils: mean = 94.5, SD = 41.9, median = 82.0) minutes. Mean estimated blood loss was 29.4 (SD = 40.9, median = 25.0) ml. There were no major complications (0\/100 episodes of bleeding or dehydration after surgery). Mean return to normal diet was 3.4 (SD = 2.2, median = 3.0) days; mean return to normal activity was 2.8 (SD = 2.1, median = 3.0) days, and mean days to no further narcotics was 3.0 (SD = 2.3, median = 2.0) days. Mean days to complete recovery (normal diet, normal activity, and no narcotics) was 4.5 (SD = 2.1, median = 4.0, range: 1-10). Total cautery time was significantly correlated with time to complete recovery ( P &lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Intracapsular microdebrider tonsillectomy with adenoidectomy utilizing QuikClot to enhance the hemostasis results in recovery times better than previously reported for this common operation in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489414560432","type":"journal-article","created":{"date-parts":[[2014,11,25]],"date-time":"2014-11-25T23:00:01Z","timestamp":1416956401000},"page":"384-391","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Intraoperative Use of QuikClot During Adenotonsillectomy"],"prefix":"10.1177","volume":"124","author":[{"given":"Craig S.","family":"Derkay","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Children\u2019s Hospital of the King\u2019s Daughters, Norfolk, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hind A.","family":"Baydoun","sequence":"additional","affiliation":[{"name":"Department of Distance Learning, Eastern Virginia Medical School, Norfolk, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,11,25]]},"reference":[{"key":"bibr1-0003489414560432","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810389949"},{"key":"bibr2-0003489414560432","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(93)90004-M"},{"key":"bibr3-0003489414560432","unstructured":"Cullen KA, Hall MJ, Golosinskiy A. 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