Postoperative Epistaxis Following Dental Treatment With Nitrous Oxide/Oxygen Sedation

Author:

Khan Ishfaq123

Affiliation:

1. *Honorary Clinical Lecturer, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, UK

2. †Senior Dental Surgeon, Midlands Partnership University NHS Foundation Trust, University of Portsmouth, UK

3. ‡Postgraduate Student, Dental Academy, University of Portsmouth, UK

Abstract

A 12-year-old Caucasian male undergoing a dental extraction for a grossly carious mandibular molar under inhalational sedation with nitrous oxide/oxygen experienced an episode of anterior epistaxis postoperatively that was controlled well with local measures. Epistaxis following inhalational sedation with nitrous oxide/oxygen in the dental setting is a very rare complication but has been previously reported in the literature. This case report provides a review of the existing literature regarding cases of epistaxis associated with inhalational sedation using nitrous oxide/oxygen and discusses the potential etiology of epistaxis associated with inhalational sedation. Patients at higher risk of epistaxis should be properly informed of the risks prior to inhalational sedation with nitrous oxide/oxygen, and dentists should also be familiar with epistaxis management in the dental setting.

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

Reference15 articles.

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5. National Institute for Health and Care Excellence. Epistaxis (nosebleeds): What are the complications? 2020. AccessedJune2022. www.cks.nice.org.uk/topics/epistaxis-nosebleeds/background-information/complications/

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1. Anterior epistaxis and sedation;British Dental Journal;2023-08-25

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