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Anesthetic management of acute nasal epistaxis occurring during general anesthesia
Author(s) -
Chandrakantan Arvind,
Mohammad Shazia,
Adler Adam C.
Publication year - 2019
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13678
Subject(s) - medicine , anesthesia , otorhinolaryngology , oxymetazoline , anesthetic , airway management , surgery , airway , nose , topical anesthetic , adrenergic receptor , receptor
Spontaneous epistaxis under general anesthesia is a rare untoward event. Typically, mild epistaxis occurs from a nasal airway manipulation and usually resolves spontaneously or with external pressure to the affected nares for a short period of time. In case of epistaxis that is difficult to control with pressure or oxymetazoline, thorough evaluation should be considered. We present a case of a 12‐year‐old experiencing spontaneous nasal bleeding upon emergence difficult to control with noninvasive methods and required intervention by otolaryngology.

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