Epistaxis primary prevention: Difference between revisions
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<nowiki/>; {{AE}} [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]], [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] | |||
==Overview== | ==Overview== | ||
A cooler house and a vaporizer, to return humidity to the air, help many people with frequent nosebleeds. Nasal saline spray and water soluble jelly can help prevent nosebleeds, especially during the winter months. | A cooler house and a vaporizer, to return humidity to the air, help many people with frequent nosebleeds. Nasal saline spray and water soluble jelly can help prevent nosebleeds, especially during the 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]] | ||
Above items are useful in all patients who have recurrent [[epistaxis]]. Specially in areas with dry climate and/or cold weather. | |||
Physicians should educate patients, who to prevent epistaxis. | |||
==References== | ==References== | ||
Revision as of 22:53, 27 October 2020
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; Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D., Liudvikas Jagminas, M.D., FACEP
Overview
A cooler house and a vaporizer, to return humidity to the air, help many people with frequent nosebleeds. Nasal saline spray and water soluble jelly can help prevent nosebleeds, especially during the 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
Above items are useful in all patients who have recurrent epistaxis. Specially in areas with dry climate and/or cold weather.
Physicians should educate patients, who to prevent epistaxis.
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.