Management of Acute Idiopathic Epistaxisis During General Anesthesia

Abstract

Spontaneous epistaxis during general anaesthesia is a rare emergency. It is a potentially life threatening situation which can compromise airway, breathing & circulation. Usually, mild epistaxis can occur during nasal manipulation and usually resolve spontaneously this external nasal compression. In this case, there was no obvious cause of epistaxis and it didn’t respond to external nasal compression and xylometazoline. We are presenting a case of 27 years’ old who developed Idiopathic Spontaneous Epistaxis which failed to resolve with conventional measures and required intervention by maxillofacial surgery team at a tertiary care cancer centre in Lahore, Pakistan.