Guidelines of the French Society of Otorhinolaryngology (SFORL). First-line treatment of epistaxis in adults

Autor: E. Bequignon, B. Vérillaud, L. Robard, J. Michel, V. Prulière Escabasse, L. Crampette, O. Malard, M. Achache, Y. Alaoui Lamrani, L. Ardillon, E. Babin, C. Bal Dit Sollier, M. Borsik, L. Castillo, A. Coste, C. Debry, P. Dessi, L. Drouet, X. Dufour, S. Dupuis-Girod, F. Faure, P. Gallet, R. Guldman, E. Houdart, R. Jankowski, F. Jegoux, S. Leble, G. Mortuaire, E. Mouchon, C. Page, A. Roux, J.P. Saint Maurice, G. Sarlon, V. Strunski, V. Trevillot, P. Vironneau
Přispěvatelé: Service d'ORL et de chirurgie cervico-faciale, Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Henri Mondor, Service d'oto-rhino-laryngologie, Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Lariboisière, Service d'Oto-Rhino-Laryngologie (O.R.L.) et de Chirurgie Cervico-Faciale [Caen], Université de Caen Normandie ( UNICAEN ), Normandie Université ( NU ) -Normandie Université ( NU ) -CHU Caen, Hôpital de la Conception [CHU - APHM] ( LA CONCEPTION ), CHI Créteil, Service d'ORL, Hôpital Gui de Chauliac ( CHRU de Montpellier ), Centre Hospitalier Régional Universitaire [Montpellier] ( CHRU Montpellier ), Centre hospitalier universitaire de Nantes ( CHU Nantes ), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Henri Mondor, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service d'Oto-Rhino-Laryngologie (O.R.L.) et de Chirurgie Cervico-Faciale [CHU Caen], Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Tumorothèque de Caen Basse-Normandie (TCBN), Hôpital de la Conception [CHU - APHM] (LA CONCEPTION), Service d'ORL, Hôpital Gui de Chauliac (CHRU de Montpellier), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Centre hospitalier universitaire de Nantes (CHU Nantes)
Rok vydání: 2016
Předmět:
Zdroj: European Annals of Otorhinolaryngology, Head and Neck Diseases
European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2017, 134 (3), pp.185-189. 〈10.1016/j.anorl.2016.09.008〉
European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2017, 134 (3), pp.185-189. ⟨10.1016/j.anorl.2016.09.008⟩
ISSN: 1879-730X
1879-7296
DOI: 10.1016/j.anorl.2016.09.008〉
Popis: International audience; OBJECTIVES:The authors present the guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (SFORL) on first-line treatment of epistaxis in adults.METHODS:A multidisciplinary work-group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members' individual experience. They were then read over by an editorial group independent of the work-group. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence.RESULTS:In first-line, clearing out blood-clots and bidigital compression are recommended. In case of persistent bleeding, local anesthesia with a vasoconstrictor is essential before nasal diagnostic and therapeutic procedures. When the origin of bleeding is not anterior, nasal endoscopy is an essential procedure, identifying the bleeding site in most cases. In case of active bleeding, cauterization is recommended but is only feasible if the bleeding site is clearly visible. When the bleeding site is not identifiable or the first measures failed, anterior packing may be performed by a non-specialist physician. Epistaxis requires subsequent nasal endoscopy performed by an ENT specialist. Patients should be informed of the measures to be taken in case of epistaxis at home, and the risks associated with the various treatments.
Databáze: OpenAIRE
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