Epistaxis primary prevention: Difference between revisions
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{{Epistaxis}} | {{Epistaxis}} | ||
{{CMG}} {{AE}} [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]], [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] | |||
==Overview== | ==Overview== | ||
Effective measures for the primary prevention of [[epistaxis]] include cooler house and a vaporizer, nasal saline spray, and water soluble jelly can be helpful, especially during winter months. | |||
==Primary Prevention== | ==Primary Prevention== | ||
[[Prevention (medical)|Prevention]] of epistaxis is | *[[Prevention (medical)|Prevention]] of epistaxis is very important especially in patients with [[recurrent epistaxis]]. | ||
*Effective measures for the primary prevention of [[epistaxis]] include:<ref name="MassickHurtuk2019">{{cite journal|last1=Massick|first1=Doug|last2=Hurtuk|first2=Agnes|title=Effectiveness of a Nasal Saline Gel in the Treatment of Recurrent Anterior Epistaxis in Anticoagulated Patients|journal=Ear, Nose & Throat Journal|volume=90|issue=9|year=2019|pages=E4–E6|issn=0145-5613|doi=10.1177/014556131109000916}}</ref> <ref name="LondonLindsey1999">{{cite journal|last1=London|first1=Scott D.|last2=Lindsey|first2=William H.|title=A Reliable Medical Treatment for Recurrent Mild Anterior Epistaxis|journal=The Laryngoscope|volume=109|issue=9|year=1999|pages=1535–1537|issn=0023852X|doi=10.1097/00005537-199909000-00033}}</ref> <ref name="SmithHanson2019">{{cite journal|last1=Smith|first1=Jenna|last2=Hanson|first2=Jennifer|last3=Chowdhury|first3=Raiyan|last4=Bungard|first4=Tammy J.|title=Community-based management of epistaxis: Who bloody knows?|journal=Canadian Pharmacists Journal / Revue des Pharmaciens du Canada|volume=152|issue=3|year=2019|pages=164–176|issn=1715-1635|doi=10.1177/1715163519840380}}</ref> <ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref><ref name="TunkelAnne2020">{{cite journal|last1=Tunkel|first1=David E.|last2=Anne|first2=Samantha|last3=Payne|first3=Spencer C.|last4=Ishman|first4=Stacey L.|last5=Rosenfeld|first5=Richard M.|last6=Abramson|first6=Peter J.|last7=Alikhaani|first7=Jacqueline D.|last8=Benoit|first8=Margo McKenna|last9=Bercovitz|first9=Rachel S.|last10=Brown|first10=Michael D.|last11=Chernobilsky|first11=Boris|last12=Feldstein|first12=David A.|last13=Hackell|first13=Jesse M.|last14=Holbrook|first14=Eric H.|last15=Holdsworth|first15=Sarah M.|last16=Lin|first16=Kenneth W.|last17=Lind|first17=Meredith Merz|last18=Poetker|first18=David M.|last19=Riley|first19=Charles A.|last20=Schneider|first20=John S.|last21=Seidman|first21=Michael D.|last22=Vadlamudi|first22=Venu|last23=Valdez|first23=Tulio A.|last24=Nnacheta|first24=Lorraine C.|last25=Monjur|first25=Taskin M.|title=Clinical Practice Guideline: Nosebleed (Epistaxis)|journal=Otolaryngology–Head and Neck Surgery|volume=162|issue=1_suppl|year=2020|pages=S1–S38|issn=0194-5998|doi=10.1177/0194599819890327}}</ref> | |||
*Using [[Triamcinolone (topical)|Triamcinolone]] 0.025% [[Cream (pharmaceutical)|cream]] | **Using [[Triamcinolone (topical)|Triamcinolone]] 0.025% [[Cream (pharmaceutical)|cream]] | ||
*Using [[saline gel]] | **Using [[saline gel]] | ||
*Using [[Petroleum jelly]] | **Using [[Petroleum jelly]] | ||
*Avoid [[nasal picking]] | **Avoid [[nasal picking]] | ||
*These measures are useful in all patients who have recurrent [[epistaxis]]. Specially in areas with dry climate and/or cold weather. | |||
==References== | ==References== | ||
Latest revision as of 01:29, 3 November 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D., Liudvikas Jagminas, M.D., FACEP
Overview
Effective measures for the primary prevention of epistaxis include cooler house and a vaporizer, nasal saline spray, and water soluble jelly can be helpful, especially during winter months.
Primary Prevention
- Prevention of epistaxis is very important especially in patients with recurrent epistaxis.
- Effective measures for the primary prevention of epistaxis include:[1] [2] [3] [4][5]
- Using Triamcinolone 0.025% cream
- Using saline gel
- Using Petroleum jelly
- Avoid nasal picking
- These measures are useful in all patients who have recurrent epistaxis. Specially in areas with dry climate and/or cold weather.
References
- ↑ Massick, Doug; Hurtuk, Agnes (2019). "Effectiveness of a Nasal Saline Gel in the Treatment of Recurrent Anterior Epistaxis in Anticoagulated Patients". Ear, Nose & Throat Journal. 90 (9): E4–E6. doi:10.1177/014556131109000916. ISSN 0145-5613.
- ↑ London, Scott D.; Lindsey, William H. (1999). "A Reliable Medical Treatment for Recurrent Mild Anterior Epistaxis". The Laryngoscope. 109 (9): 1535–1537. doi:10.1097/00005537-199909000-00033. ISSN 0023-852X.
- ↑ Smith, Jenna; Hanson, Jennifer; Chowdhury, Raiyan; Bungard, Tammy J. (2019). "Community-based management of epistaxis: Who bloody knows?". Canadian Pharmacists Journal / Revue des Pharmaciens du Canada. 152 (3): 164–176. doi:10.1177/1715163519840380. ISSN 1715-1635.
- ↑ Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). "Epistaxis". Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.
- ↑ Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth, Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (2020). "Clinical Practice Guideline: Nosebleed (Epistaxis)". Otolaryngology–Head and Neck Surgery. 162 (1_suppl): S1–S38. doi:10.1177/0194599819890327. ISSN 0194-5998.