A New Device for Managing Refractory Epistaxis in ICU Patients with COVID-19

Author Info

Olivier Choussy Nicolas Viault Wahib Ghanem Antoine Dubray Vautrin Christian Lamer

Corresponding Author

Olivier Choussy
Surgical Oncological Department, Head and Neck, Institut Curie, PSL Research University, Paris, France

A B S T R A C T

Epistaxis is a common and a well-known symptom. Nasal packing is an effective treatment in most cases [1]. The COVID-19 disease treatment includes conventional or high flow nasal oxygen therapy and systemic anticoagulation [2]. Patients in intensive care unit may require therapeutic anticoagulation for venous thromboembolism, hyperinflammatory status, extracorporeal membrane oxygenation (ECMO) and multiple other pathologies. The use of therapeutic anticoagulation increases risk of nose bleeding, and its management may be challenging. CAVI-T (Figures 1 & 2) is a new asymmetrical low-pressure balloon that have shown promising results to control epistaxis in emergency. We report herein the management of severe epistaxis in two COVID-19 patients admitted to ICU for severe respiratory failure.

Article Info

Article Type

Case Report

Publication history

Received: Tue 22, Jun 2021
Accepted: Sat 18, Sep 2021
Published: Thu 30, Sep 2021

Copyright

© 2021 Olivier Choussy. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.SCR.2021.09.13