The Role of Interventional Radiology Nurses in Managing Severe Epistaxis undergoing Endovascular Treatment
Keywords:
endovascular treatment, nurses management, epistaxisAbstract
Epistaxis, defined as abnormal bleeding from the nasal cavity that could represent a significant emergency due to the risk of life-threatening massive blood loss and potential airway obstruction. This condition arises from various causes. Most frequently associated to trauma at the mid-facial region. Accurate assessment and rapid recognition of the cause are crucial for starting the right treatment. Emergency management focuses on early nursing and medical interventions such as keeping the airway open, giving fluids, monitoring vital signs, and using special devices to stop the bleeding, included endovascular treatment which can help resolved this condition. Understanding the main treatment options and working together as a healthcare team helps nurses provide more effective care. This approach supports faster control of bleeding and improves the patient’s chance of recovery.
References
Beck R, Sorge M, Schneider A, Dietz A. Current approaches to epistaxis treatment in primary and secondary care. Dtsch Arztebl Int. 2018;115:12–22.
Viehweg TL, Roberson JB Jr, Hudson JW. Epistaxis: diagnosis and treatment. J Oral Maxillofac Surg. 2006;64:511–8.
Hunchaisri N. Epistaxis. J Med Health Sci. 2008;5:51–9.
Willems PWA, Farb RI, Agid R. Endovascular treatment of epistaxis. AJNR Am J Neuroradiol. 2009;30:1637–45.
Robinson AE, McAuliffe W, Phillips TJ, Phatouros CC, Singh TP. Embolization for the treatment of intractable epistaxis: 12-month outcomes in a two-centre case series. Br J Radiol. 2017;90:20170472.
Giorgianni A, Molinaro S, Agosti E, Terrana AV, Vizzari FA, Arosio AD, et al. Twenty years of experience in juvenile nasopharyngeal angiofibroma (JNA) preoperative endovascular embolization: an effective procedure with a low complications rate. J Clin Med. 2021;10:3926.
Hackman T, Snyderman CH, Carrau R, Vescan A, Kassam A. Juvenile nasopharyngeal angiofibroma: the expanded endonasal approach. Am J Rhinol Allergy. 2009;23:95–9.
Abruzzo TA, Geller JI, Kimbrough DA, Michaels S, Corrêa ZM, Cornell K, et al. Adjunctive techniques for optimization of ocular hemodynamics in children undergoing ophthalmic artery infusion chemotherapy. J Neurointerv Surg. 2015;7(10):770–6. doi:10.1136/neurintsurg-2014-011295.
Krajina A, Chrobok V. Radiological diagnosis and management of epistaxis. Cardiovasc Intervent Radiol. 2014;37:26–36. doi:10.1007/s00270-013-0776-y.
Asatir I, Erbas A. Perioperative nursing care in transradial angiography. ODU Med J. 2023;10(3):158–68.
Banning AP, Baumbach A, Blackman D, Curzen N, Devadathan S, Fraser D, et al. Percutaneous coronary intervention in the UK: recommendations for good practice 2015. Heart. 2015;101 Suppl 3:1–13. doi:10.1136/heartjnl-2015-307821.
Schmitt CM, Buchbender M, Musazada S, Bergauer B, Neukam FW. Evaluation of staff satisfaction after implementation of a surgical safety checklist in the ambulatory of an oral and maxillofacial surgery department and its impact on patient safety. Clin Med. 2014;14:468–74.
Almendarez M, Gurm HS, Mariani J Jr, Montorfano M, Brilakis ES, Mehran R, Azzalini L. Procedural strategies to reduce the incidence of contrast-induced acute kidney injury during percutaneous coronary intervention. J Am Coll Cardiol Intv. 2019;12:1877–88.
Boonchan N, Thepna A. Fundamental nursing skills. Vol. 1. 2nd ed. Bangkok: Faculty of Nursing, Mahidol University; 2017.
Wiangnon S. Nursing care for cerebral hemorrhage post-operative craniectomy patients: two case studies. EMH. 2021;6(4):83–95. Available from: https://so06.tci-thaijo.org/index.php/hej/article/view/252285
National Blood Centre, Thai Red Cross Society. Guidelines for blood safety surveillance. 2nd ed. Bangkok: Udomsuksa; 2023.
Chaopathomkul B. Rational drug use manual: diagnostic agents in radiology. Bangkok: Aksorn Graphic and Design; 2017.
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