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Paediatr Anaesth. 2019 Aug;29(8):872-874. doi: 10.1111/pan.13678. Epub 2019 Jun 27.

Anesthetic management of acute nasal epistaxis occurring during general anesthesia.

Author information

1
Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, Texas.
2
Baylor College of Medicine, Houston, Texas.

Abstract

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.

KEYWORDS:

Kiesselbach’s plexus; anesthesia; epistaxis; nasal bleeding; perioperative

PMID:
31166054
DOI:
10.1111/pan.13678

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