What is the role of direct pressure in anterior nasal packing for epistaxis?

Updated: May 09, 2018
  • Author: Eric Goralnick, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Apply anterior nasal pressure to the cartilaginous part of the nose for 20 minutes (see the image below). If this maneuver does not control the bleeding, a more invasive approach is required.

Anterior nasal pressure with joined tongue depress Anterior nasal pressure with joined tongue depressors.

Assemble equipment and put on gown, goggles, and gloves. A headlamp, if available, is helpful; its use enhances the visual field. Keep patient in an upright or minimally reclined position.

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