Anterior Epistaxis Nasal Pack

Autor: Kravchik L; St. Luke's University Health Network, Jamal Z; Rawalpindi Medical University, Rawalpindi, Pester JM; St. Luke's University Health Network
Jazyk: angličtina
Zdroj: 2022 Jan.
Abstrakt: Among the nasal emergencies, epistaxis is one of the most common chief complaints in patients presenting to the emergency department. Typically, anterior epistaxis is a benign event that is most often self-limited after the application of direct pressure. Children and the elderly are the most common population affected, presenting with epistaxis secondary to either direct trauma via nose picking, friable mucosa, and anticoagulant use, respectively. Generally, anterior epistaxis is more common in the winter months in all age groups secondary to air from heating systems drying out the nasal mucosa, thus making it more prone to irritation and bleeding. If the direct application of pressure for approximately fifteen to twenty minutes fails, there are other methods available to achieve hemostasis. Vasoconstrictive agents and silver nitrate cautery may be useful. If epistaxis remains unresolved at that stage, anterior nasal packing may be necessary.
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Databáze: MEDLINE