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]]  
'''Editor in Chief''': [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] [mailto:LJagminas@mhri.org] Phone: 401-729-2419 ; {{AE}} [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]
==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 (such as Ayr gel) can help prevent nosebleeds, especially during the winter months.
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 (medical)|Prevention]] of epistaxis is vey important especially in patients with [[recurrent epistaxis]]. Effective measures for the [[primary prevention]] of [[epistaxis]] include:


* Using [[saline gel]]
==Primary Prevention==
* Using [[Petroleum jelly]]
*[[Prevention (medical)|Prevention]] of epistaxis is very important especially in patients with [[recurrent epistaxis]].
* Avoid [[nasal picking]]
*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 [[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==
==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

References

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

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