What is the role of anesthesia 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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Soak cotton balls in a mix of 2% lidocaine and 1:1000 epinephrine. Put 1-2 cotton balls into the bleeding nostril. (If bleeding is not clearly unilateral, put cotton balls into both nostrils.) Place a dry cotton ball at the external nares to prevent leakage and dripping. Leave the cotton balls in place for 10 minutes.

If these anesthetic supplies are unavailable, a commercially produced topical nasal decongestant may be quickly inhaled; then, place cotton balls and apply anterior nasal pressure.

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