Management of Epistaxis in Children and Adolescents: Avoiding a Chaotic Approach.

  title={Management of Epistaxis in Children and Adolescents: Avoiding a Chaotic Approach.},
  author={Peter F. Svider and Khashayar Arianpour and Sean A. Mutchnick},
  journal={Pediatric clinics of North America},
  volume={65 3},
Use of Tranexamic Acid for Controlling Epistaxis in the Patients Referring to the Emergency Department: Single-blind Randomized Clinical Trial
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Most doctors have adequate knowledge regarding epistaxis, with many more doctors having adequate knowledge of causation of epistaxis as compared to management.
A study of the knowledge and attitude of physicians in the first aid management of epistaxis in Aseer region, Saudi Arabia
Nearly one out of each four residents had good awareness level regarding epistaxis especially GPs and ER residents, and position of patients with epistaxis and sites of epistaxis were the only items well known by residents.
Epistaxis: abordaje inicial en el servicio de emergencias
The management of epistaxis is often demanding and it should be timely with initial resuscitation measures, nasal compression therapy, cauterization and may even merit surgical resolution in the operating room.
Epistaxis und antithrombotische Medikation: eine Analyse der Daten einer gesetzlichen Krankenversicherung in Niedersachsen
Die Epistaxis ist ein häufiges Symptom in der Arztpraxis und assoziiert mit verschiedenen Komorbiditäten und Medikamenten, insbesondere Antikoagulanzien. Trotz ihrer Alltäglichkeit gibt es nur wenige
Abordaje y manejo de la epistaxis en población pediátrica
La epistaxis se refiere a cualquier sangrado originado de las fosas nasales, la cavidad nasal, los senos paranasales, y/o la nasofaringe. Esta emergencia otorrinolaringológica es uno de los motivos
Çocuk Acil Servisine Epistaksis ile Başvuran Olguların Klinik ve Laboratuvar Değerlendirmesi
Vakalarin buyuk cogunlugu spontan veya baski gibi basit tedavi yontemleri ile tedavi edilirken az sayida vaka multidisipliner tedavi yaklasimlarina gereksinim duyabilmektedir.
Topical Tranexamic Acid versus Phenylephrine-lidocaine for the Treatment of Anterior Epistaxis in Patients Taking Aspirin or Clopidogrel; a Randomized Clinical Trial
Topical TXA is an appropriate treatment option in bleeding cessation, and reducing re-bleeding and duration of hospital stay in patients with epistaxis who take antiplatelet agents.


Current treatment strategies for epistaxis: a multidisciplinary approach
An exhaustive review of the anatomic basis for the two main subtypes of epistaxis is provided as well as a graduated approach to appropriate clinical management.
Clinical practice. Epistaxis.
A 61-year-old man presents to the emergency room with left-sided epistaxis that has continued for 1 hour and reports no history of nasal obstruction, epistaxis, trauma, bleeding diathesis, or easy bruising.
Epistaxis: update on management
The literature continues to support the role of antiplatelet drugs as important risk factors for epistaxis and there have been many clinically useful studies that will contribute to an overall improvement in patient care.
Arterial ligation versus embolization in epistaxis management: Counterintuitive national trends
The purpose of this study was to examine temporal trends and compare outcomes in treatment of hospitalized epistaxis patients with ligation or embolization.
Pediatric epistaxis: epidemiology, management & impact on quality of life.
Nasal bleeding in children.
The salient items in control of nasal bleeding are: (1) Position of the child, (2) application of pressure against the bleeding area and (3) formation and support of a clot.
Seasonal variation and predictors of epistaxis
To examine the incidence of epistaxis as a function of season and age and to determine predictors of episodes within the epistaxis patient population presenting to a tertiary hospital system.
Nasal bleeding and non-accidental injury in an infant
The case is reported of an infant who presented at one month of age with serious inflicted injuries, who had been seen in the emergency department only 13 days previously with a “spontaneous” self-limiting nose bleed.
Epistaxis, Medical History, and the Nasopulmonary Reflex: What is Clinically Relevant?
  • B. Loftus, A. Blitzer, K. Cozine
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 1994
The nasopulmonary reflex, as previously described in terms of a primary drop in O2, therefore seems clinically irrelevant and early surgery for posterior epistaxis is not warranted on the basis of maintenance of adequate oxygenation alone.
A systematic review of surgical outcomes for advanced juvenile nasopharyngeal angiofibroma with intracranial involvement
This study systematically reviews the JNA literature to determine surgical outcomes and confirms transnasal endoscopic resection with intracranial extension is an established treatment for most juvenile nasopharyngeal angiofibroma.