Abstract
Increased mortality and arterial hypoxemia have long been associated with posterior nasal packs placed for control of severe epistaxis. Several authors have postulated a nasopulmonary reflex to partially explain this clinically observed phenomenon. In ten young, healthy subjects, using a multiparameter pulmonary evaluation, posterior nasal packs were placed and no significant changes were observed in lung volumes, flow and alveolar gas exchange, especially oxygenation. These findings suggest that aspiration, sedation, and degeneration of pulmonary function with age, not a nasopulmonary reflex, have not been adequately emphasized in previously performed studies.
Citations
Oct 12, 2014·JAAPA : Official Journal of the American Academy of Physician Assistants·Linda Diamond
Sep 28, 2002·The Laryngoscope·Darrell A KlotzArthur S Hengerer
Oct 28, 2010·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·W-H FanGuo-She Lee
Jan 1, 1991·The Journal of Laryngology and Otology·D J Premachandra
Jul 1, 1983·The Journal of Laryngology and Otology·M R HadyA H Nasef
Aug 1, 1996·Clinical Otolaryngology and Allied Sciences·S KristensenA Juul
Oct 1, 1991·Clinical Otolaryngology and Allied Sciences·P F JensenN W Johannessen
Aug 1, 1990·Clinical Otolaryngology and Allied Sciences·M R Laing, L J Clark
Nov 22, 2011·Facial Plastic Surgery Clinics of North America·John H Krouse
May 24, 2011·Auris, Nasus, Larynx·Daiya AsakaHiroshi Moriyama
Aug 5, 2008·International Journal of Clinical Practice·Y BajajG Kelly
Oct 13, 2010·The Laryngoscope·Ehab ZayyanTaner Yılmaz
Dec 27, 2005·Techniques in Vascular and Interventional Radiology·Ankit A MahadeviaPhilippe Gailloud
May 14, 1999·Journal of the American Geriatrics Society·L Pantanowitz
Oct 28, 1982·The New England Journal of Medicine·J A Kirchner
Jan 1, 1992·Acta Oto-laryngologica. Supplementum·N JohannessenA Juul
Jan 8, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David E TunkelTaskin M Monjur
May 21, 2003·Clinical Otolaryngology and Allied Sciences·A Ahmed, T J Woolford
Mar 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D N Fairbanks
Aug 1, 1984·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R G AndersonL A Raney
Oct 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J R Jacobs, C B Dickson
Aug 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G E Woodson, K T Robbins
Apr 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B C LoftusK Cozine
Feb 15, 2011·Aesthetic Surgery Journal·Brian P KelleySamuel Stal