Kido Kanta, Shindo Yuki, Miyashita Hitoshi, Kusama Mikio, Sugino Shigekazu, Masaki Eiji
Department of Dental Anesthesiology and Pain Management, Tohoku University Hospital, Sendai, Japan.
Department of Oral Medicine and Surgery, Division of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Tohoku University, Sendai, Japan.
Anesth Prog. 2019 Winter;66(4):211-217. doi: 10.2344/anpr-66-02-09.
Epistaxis is one of the most common complications of nasotracheal intubation and can be life-threatening. However, there is little discussion in the current literature on the acute management of massive epistaxis after nasotracheal extubation. This is a report of 2 patients who experienced severe unanticipated nasal bleeding immediately after extubation, 1 after a surgical procedure for oral cancer and another after restorative dental treatment. In both cases the significant epistaxis was managed successfully with a Foley balloon catheter used to pack the posterior nasal cavity. The Foley catheter technique may be useful for managing and arresting sudden postextubation epistaxis.
鼻出血是经鼻气管插管最常见的并发症之一，且可能危及生命。然而，目前文献中关于经鼻气管拔管后大量鼻出血的急性处理的讨论较少。本文报告2例患者，1例在口腔癌手术后、另1例在牙齿修复治疗后拔管后立即发生严重的意外鼻出血。在这两例中，均使用Foley气囊导管填塞后鼻腔成功处理了严重鼻出血。Foley导管技术可能有助于处理和止住拔管后突发的鼻出血。
