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Nasal packing aspiration in a patient with Alzheimer’s disease: a rare complication
Nasal bleeding is a frequent problem for patients receiving anticoagulant agents. Most cases are successfully managed with anterior or posterior nasal packing. However, the complications of nasal packing should be always considered. We report the case of a 78-year-old man with Alzheimer’s disease wh...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413305/ https://www.ncbi.nlm.nih.gov/pubmed/22879779 http://dx.doi.org/10.2147/IJGM.S34676 |
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author | Koudounarakis, Eleftherios Chatzakis, Nikolaos Papadakis, Ioannis Panagiotaki, Irene Velegrakis, George |
author_facet | Koudounarakis, Eleftherios Chatzakis, Nikolaos Papadakis, Ioannis Panagiotaki, Irene Velegrakis, George |
author_sort | Koudounarakis, Eleftherios |
collection | PubMed |
description | Nasal bleeding is a frequent problem for patients receiving anticoagulant agents. Most cases are successfully managed with anterior or posterior nasal packing. However, the complications of nasal packing should be always considered. We report the case of a 78-year-old man with Alzheimer’s disease who was treated for anterior epistaxis with anterior nasal packing using three pieces of antibiotic-soaked gauze. Two days later, the patient was admitted to the emergency department in respiratory distress. A chest x-ray demonstrated atelectasis of the right lung. During an examination of the nasal cavities, the nasal packing was removed, and one of the gauze pieces was missing. The patient underwent rigid bronchoscopy, and the missing gauze was found to be obstructing the right main bronchus. The patient’s respiratory function improved considerably after removal of the foreign body. It is assumed that gauze packs should be used with caution in patients with an impaired level of consciousness and neurodegenerative diseases. |
format | Online Article Text |
id | pubmed-3413305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-34133052012-08-09 Nasal packing aspiration in a patient with Alzheimer’s disease: a rare complication Koudounarakis, Eleftherios Chatzakis, Nikolaos Papadakis, Ioannis Panagiotaki, Irene Velegrakis, George Int J Gen Med Case Report Nasal bleeding is a frequent problem for patients receiving anticoagulant agents. Most cases are successfully managed with anterior or posterior nasal packing. However, the complications of nasal packing should be always considered. We report the case of a 78-year-old man with Alzheimer’s disease who was treated for anterior epistaxis with anterior nasal packing using three pieces of antibiotic-soaked gauze. Two days later, the patient was admitted to the emergency department in respiratory distress. A chest x-ray demonstrated atelectasis of the right lung. During an examination of the nasal cavities, the nasal packing was removed, and one of the gauze pieces was missing. The patient underwent rigid bronchoscopy, and the missing gauze was found to be obstructing the right main bronchus. The patient’s respiratory function improved considerably after removal of the foreign body. It is assumed that gauze packs should be used with caution in patients with an impaired level of consciousness and neurodegenerative diseases. Dove Medical Press 2012-07-27 /pmc/articles/PMC3413305/ /pubmed/22879779 http://dx.doi.org/10.2147/IJGM.S34676 Text en © 2012 Koudounarakis et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Case Report Koudounarakis, Eleftherios Chatzakis, Nikolaos Papadakis, Ioannis Panagiotaki, Irene Velegrakis, George Nasal packing aspiration in a patient with Alzheimer’s disease: a rare complication |
title | Nasal packing aspiration in a patient with Alzheimer’s
disease: a rare complication |
title_full | Nasal packing aspiration in a patient with Alzheimer’s
disease: a rare complication |
title_fullStr | Nasal packing aspiration in a patient with Alzheimer’s
disease: a rare complication |
title_full_unstemmed | Nasal packing aspiration in a patient with Alzheimer’s
disease: a rare complication |
title_short | Nasal packing aspiration in a patient with Alzheimer’s
disease: a rare complication |
title_sort | nasal packing aspiration in a patient with alzheimer’s
disease: a rare complication |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413305/ https://www.ncbi.nlm.nih.gov/pubmed/22879779 http://dx.doi.org/10.2147/IJGM.S34676 |
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