Acute Management of Massive Epistaxis After Nasotracheal Extubation

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.

Keywords: Epistaxis; Foley catheter; Nasotracheal extubation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Airway Extubation* / adverse effects
  • Dental Restoration Repair
  • Epistaxis* / etiology
  • Epistaxis* / therapy
  • Female
  • Humans
  • Intubation, Intratracheal
  • Laryngoscopes*
  • Male
  • Mouth Neoplasms / surgery
  • Nasal Cavity