scholarly journals Non-instrumental clinical monitoring does not guarantee an adequate course of general anesthesia. A prospective clinical study

2018 ◽  
Vol 162 (3) ◽  
pp. 198-205
Author(s):  
Katarzyna Szostakiewicz ◽  
Zbigniew Rybicki ◽  
Dariusz Tomaszewski
Keyword(s):  
Clinical Study ◽  
General Anesthesia ◽  
Clinical Monitoring ◽  
Prospective Clinical Study

Prospective Clinical Study of Bleeding Sites in Idiopathic Adult Posterior Epistaxis

2007 ◽  
Vol 137 (3) ◽  
pp. 390-393 ◽  
Author(s):  
Tor W. Chiu ◽  
Gerry W. McGarry
Keyword(s):  
Clinical Study ◽  
Prospective Study ◽  
General Anesthesia ◽  
Nasal Cavity ◽  
Study Design ◽  
Teaching Hospital ◽  
Prospective Clinical Study ◽  
Bleeding Site ◽  
Bleeding Point ◽  
Efficient Management

OBJECTIVES: The precise identification of the bleeding point is important to the efficient management of epistaxis. Our hypothesis was that the septum was the commonest bleeding site. STUDY DESIGN AND SETTING: This was a prospective clinical study of 50 consecutive adult idiopathic posterior epistaxis patients carried out in a busy teaching hospital. METHODS: The nasal cavity was inspected with endoscopy to identify the site of bleeding before any intervention. The location of bleeding sites was recorded on a proforma. RESULTS: Of bleeding sites posterior to the piriform fossa, 94 percent were identifiable, with 70 percent arising from the septum. CONCLUSIONS AND SIGNIFICANCE: This is the largest prospective study of the bleeding site in adult patients with posterior epistaxis and the only one with a well-defined population. The vast majority of posterior bleeding sites can be identified by endoscopy without general anesthesia. The septum should be examined closely in cases of idiopathic bleeding.

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