Posterior Epistaxis Nasal Pack. Author: Eric Goralnick, MD; Chief Editor . and not controlled with anterior nasal packing. Posterior epistaxis is usually treated by an otolaryngologist, but an emergency practitioner may be called upon to treat this condition in a medical . Each of these states makes hemostatic control much more difficult, and each has its set of additional specific targeted therapies. Temporizing measures until more definitive therapies are .

Anterior nasal packing is required when external pressure and cauterization fail to control anterior bleeding, . For a detailed description of posterior nasal packing, see Posterior Epistaxis Nasal Pack. Previous Next Preparation. Anesthesia. Topical anesthetics include a 2% (or 4%) solution of lidocaine (see the image below). Lidocaine 2%.

Epistaxis Control. by Margaret Colyar, NP. . hepatic or renal disorder may receive anterior packing as a temporary stabilizing measure for epistaxis but should be referred to an emergency treatment setting as soon as possible. Possible etiologies of epistaxis are listed in Table 1. . There are two forms of epistaxis, anterior and posterior.

Recent prospective and retrospective data has shown that the endonasal surgical management of posterior epistaxis is superior to posterior nasal packing and angiography/embolization with regards to . and transnasal endoscopic sphenopalatine/ posterior nasal artery ligation or cauterization with or without control of the anterior ethmoidal . Their treatment regimen consisted of placement of either a Rapid Rhino 7.5 cm packing or balloon packing for posterior epistaxis, .

While specific patient characteristics (elderly, trauma victims) and quantity of bleeding (severe) have been associated with posterior bleeds, a more accurate clinical definition would be epistaxis that fails to stop with aggressive bilateral anterior packing. Anatomically, the true maxillary sinus

. and successfully by the use of vasoconstrictive agents followed by silver nitrate cauterization and risks of anterior nasal packing can be avoided. . anterior and posterior epistaxis. Anterior epistaxis is bleeding from a source anterior to the plane of the . A review of literature indicates a surprising lack of any prospective study for control of anterior epistaxis and comparative analysis of success of use of vasoconstrictors in achieving dry focus of bleeding site for .

Management of Epistaxis The Goal is Control Tracey W . sizes and some are impregnated with antibacterial properties Correct direction for placement of nasal packing Treatment of Posterior Epistaxis IV pain medication and antiemetics may be helpful Use topical anesthetic and vasoconstrictive spray for . factors May also have deviation of nasal septum Significant bleeding in posterior pharynx More challenging to control Treatment of Anterior Epistaxis Localized .

The elderly are also more prone to prolonged nose bleeds as their blood vessels are less able to constrict and control the bleeding. The vast majority of nose bleeds occur in the anterior (front) part of the nose from the nasal septum. . Posterior packing can be achieved by using a Foley catheter, blowing up the balloon when it is in the back of the throat, and applying traction. [12]

Control of epistaxis by posterior (and anterior) packing information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues.