[Accidental intracerebral penetration of a nasal hemostatic probe].
We report a case of inadvertent intracerebral introduction of a haemostatic device (Brighton tube) inserted into a nasal cavity for control of epistaxis in a patient with major craniofacial trauma. This complication remained unrecognized in the unconscious patient until the subsequent CT-scan control. In unconscious patients with a major facial trauma, intranasal haemostatic probes should be inserted under direct visual control by a ENT specialist and their position checked by digital palpation of the inflated cuffs behind the soft palate.
Adam
J C
JC
Service d'anesthésie-réanimation, Hôpital d'instruction des Armées Clermont-Tonnerre, Brest Naval, France.
Mauchaufee
J C
JC
Potard
G
G
L'Azou
D
D
D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004844:Epistaxis / Q000209:etiology / Q000628:therapy*; D015600:Glasgow Coma Scale; D006489:Hemostatic Techniques / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D014057:Tomography, X-Ray Computed
Pénétration intracérébrale accidentelle d'une sonde de tamponnement nasal.