Mass. Eye and Ear reports some of its top docs have just released findings on figuring out the best way to stop a nose bleed severe enough to warrant a trip to the ER:
According to the study, nondissolvable packing demonstrated the highest rate of failure or recurrence (57.4 percent) for initial bleed management. Chemical cautery was significantly more successful in achieving lasting hemostasis for the first bleeding episode. The authors also found that the duration of the nondissolvable pack placement had no significant impact on nosebleed recurrence. Furthermore, among patients who failed initial management, those who next underwent more invasive procedures such as cautery, embolization or surgical ligation experienced better outcomes and shorter inpatient stays.
The complete results are in the September issue of Otolaryngology - Head and Neck Surgery, of course.