|Minor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.)|
|Chapter 4: ent procedures|
Bleeding from the nose.
Wick of vaseline gauze
Fine dissecting forceps
Urinary catheter (sound) with n° 12 balloon
Figures 69, 70
First, introduce the vaseline gauze, not more than 2 cm, as far
into the nose as possible, with dissecting forceps, and try to fold the gauze in
pleats from behind forwards.
Pack the bleeding nasal cavity and hold it in place with an adhesive tape.
If bleeding continues despite the pack, posterior bleeding is occuring: introduce a Foley catheter (n°12) as far as the oropharynx, inflate the balloon with 10 to 15 ml of air (Figure 69), and pull back until it abuts on the posterior pharyngeal wall. Then, introduce the vaseline gauze as before. Maintain the catheter and the gauze mesh with an adhesive tape (Figure 70).
If bleeding continues, it is coming from the other nostril.
The pack must remain for at least 3 days.