I thought that prophylactic antibiotics for packing was out? http://rebelem.com/do-patients-with-epistaxis-managed-by-nasal-packing-require-prophylactic-antibiotics/
Yes, we are aware that the literature is limited in showing TSS association with nasal packing. BUT, we try to design C3 episodes with the newer learner in mind, and stick with what is the accepted standard practice. We felt that antibiotics are still the common practice and try to stick with the textbook approach here.
Any tips for nasal numbing prior to packing if cocaine isn't available? Are people just spraying lidocaine with some sort atomization device, applying pledgets dipped in lidocaine, or some other approach? Thanks!
Kevin M. - May 9, 2017 11:33 PM
Great discussion even for an experienced physician. Enjoyed that the C3's are not segmented.
Tim V. - May 13, 2017 12:47 AM
I thought that prophylactic antibiotics for packing was out? http://rebelem.com/do-patients-with-epistaxis-managed-by-nasal-packing-require-prophylactic-antibiotics/
Thanks for the review
Jess Mason - May 15, 2017 10:16 AM
Yes, we are aware that the literature is limited in showing TSS association with nasal packing. BUT, we try to design C3 episodes with the newer learner in mind, and stick with what is the accepted standard practice. We felt that antibiotics are still the common practice and try to stick with the textbook approach here.
Bridget S. - May 21, 2017 12:07 AM
Any tips for nasal numbing prior to packing if cocaine isn't available? Are people just spraying lidocaine with some sort atomization device, applying pledgets dipped in lidocaine, or some other approach? Thanks!
Jess Mason - May 21, 2017 12:49 PM
You got it! Atomize the lidocaine or soak a pledget. You can even mix the lido with oxymetazoline or neosynephrine.
Matthew O. - May 28, 2017 4:54 PM
This was such a great review thanks!
Just want to give a quick shout out to a tip from Andy Buck I learnt that has helped immensely over the years.
The Epistaxis nose Peg:
http://www.edexam.com.au/epistaxis/
So handy and has really helped patients in my experience. Hope you find it useful!
Jordan R. - May 1, 2020 7:18 AM
Is there an acceptable amount of leakage from the anterior naris or is this a remove and replace or attempt a different intervention situation?