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Epistaxis Control

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Reverse Trendelenburg, arms tucked, Bed turned 90 degrees
Time : 30-60 min (short)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Aspiration risk / Full stomach, High Blood Loss, Arterial line, PONV, Off-site, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, Oral Rae, Local Anesthetic
2GETT, Oral Rae, TIVA, Propofol Drip, Remifentanil Drip
3MAC, Local Anesthetic
The Surgery

The decision to go to the operating room - Operative control follows failed first-line management: direct pressure, topical vasoconstrictor, chemical or bipolar cautery of a visible anterior point,...

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