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52135 - Post-Operative Haemorrhage Control

MBS service description:

POST-OPERATIVE or POST-NASAL HAEMORRHAGE, or both, control of, where undertaken in the operating theatre of a hospital (Anaes.)
Schedule Fee:
164.45
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52135 (Post-Operative Haemorrhage Control) typically used?

The need for control of post-operative or post-nasal haemorrhage in the operating theatre arises when a patient experiences severe bleeding after maxillofacial surgery or nasal trauma, requiring surgical intervention under anesthesia in a hospital to stop the haemorrhage and prevent complications. This procedure is indicated for significant blood loss that cannot be managed conservatively, critical in the maxillofacial region where bleeding can obstruct airways or cause shock.

Specific scenarios include:

  • Post-surgical bleeding: Heavy bleeding after jaw surgery might need cauterization or packing.
  • Nasal trauma: A fracture causing post-nasal haemorrhage could require theatre control.
  • Airway risk: Blood pooling in the throat might obstruct breathing, needing urgent intervention.
  • Persistent loss: Uncontrolled bleeding risks anemia or instability, prompting surgery.

For example, a patient bleeding profusely after maxillary surgery might need this to cauterize vessels, done in theatre for safety. In aged care, an elderly patient with nasal bleeding post-fall could require this, given their frailty. By controlling the haemorrhage, this service prevents airway issues, stabilizes the patient, and supports recovery, making it vital for severe bleeding in the maxillofacial area.

Benefits to the patient

Surgeons controlling post-operative or post-nasal hemorrhage in the patient within a hospital operating theatre under anesthesia offer critical benefits. A key advantage is stopping bleeding. This procedure halts the patient’s hemorrhage, preventing further blood loss—crucial for 'hemorrhage control benefits.' It also prevents airway obstruction by clearing blood from the nasal or throat area, ensuring the patient’s breathing remains safe. Furthermore, it stabilizes the patient by addressing the emergency swiftly, supporting their recovery. For surgeons exploring 'post-surgical bleeding management advantages,' this service ensures patients benefit from hemorrhage cessation, airway protection, and condition stabilization, making it an essential response to postoperative complications.

Recovery considerations

Recovery of 1-2 days with monitoring; swelling or packing may persist.

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