Medical Case Reports

Blind Approach Posterior Tampon with Foley Catheter for Mallampati Class IVPatient during Covid19 Pandemic Era

Epistaxis is one of the common emergencies with many risk factors and causes, one of the main cause is due to neoplasm. Forty-eight years old male admitted to ER with nassal bleeding for 30 minutes. Blood lost was estimated 1500-2000 cc. He has history of nasopharingeal carcinoma. In ER, patient’s airway was managed, fluid ressuscitation and bleeding was controlled by posterior tampon with a foley catheter. After the patient is stabilized, patient received further treatment. Posterior tampon is common procedure for treating posterior epistaxis in Emergency Room and foley catheter is used in most emergency room settings. Visual references require physician to see the tip of the foley catheter before inflating the catheher balloon. However, this step might be a challange in patient with mallampati class III-IV which visualization to hypopharynx is limitted or in Covid19 Pandemic Era which chance to receive patient with covid19 disease is possible and aerosolization procedure should be done in shorter time.

Author(s):

Rusly*, Sy Bellia Kharisma

Abstract | Full-Text | PDF

Share this