Peritonsilar abscess incision and drainage tips
Posted by dkwinter
  • Prepare an aspiration needle (cut the distal 1 cm off the needle cap and replace the needle cap providing an element of safety)
  • Have the patient hold the laryngoscope
  • Spray benzocaine to the posterior pharynx
  • Identify the most fluctuant area and inject lidocaine with epinephrine (usualy the suprior pole)
  • Insert your aspiration needle & syringe into the most prominent area while aspirating
    • Most infections start in the superior pole
    • Second attempt int the middle pole
    • Third and final attempt in the inferior pole
  • Then all done
  • Observe for 2-4 hours (for bleeding)
  • Discharge with antibiotics
  • Recheck in 24 hours