Acute Management of Massive Epistaxis After Nasotracheal Extubation

Kanta Kido, Yuki Shindo, Hitoshi Miyashita, Mikio Kusama, Shigekazu Sugino, Eiji Masaki

Research output: Contribution to journalArticlepeer-review

Abstract

Epistaxis is one of the most common complications of nasotracheal intubation and can be life-threatening. However, there is little discussion in the current literature on the acute management of massive epistaxis after nasotracheal extubation. This is a report of 2 patients who experienced severe unanticipated nasal bleeding immediately after extubation, 1 after a surgical procedure for oral cancer and another after restorative dental treatment. In both cases the significant epistaxis was managed successfully with a Foley balloon catheter used to pack the posterior nasal cavity. The Foley catheter technique may be useful for managing and arresting sudden postextubation epistaxis.

Original languageEnglish
Pages (from-to)211-217
Number of pages7
JournalAnesthesia progress
Volume66
Issue number4
DOIs
Publication statusPublished - 2019 Dec 1

Keywords

  • Epistaxis
  • Foley catheter
  • Nasotracheal extubation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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