Acute Management of Massive Epistaxis After Nasotracheal Extubation

Author:

Kido Kanta1,Shindo Yuki1,Miyashita Hitoshi2,Kusama Mikio3,Sugino Shigekazu4,Masaki Eiji1

Affiliation:

1. Department of Dental Anesthesiology and Pain Management, Tohoku University Hospital, Sendai, Japan

2. Department of Oral Medicine and Surgery, Division of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Tohoku University, Sendai, Japan

3. Department of Oral and Maxillofacial Surgery, International University of Health and Welfare Hospital, Tochigi, Japan

4. Department of Anesthesiology and Perioperative Medicine, Tohoku University Hospital, Sendai, Japan.

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.

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

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