• Posterior bleeds (around 5%) require packing and a balloon catheter can be useful here.

    nose bleed

Remove anterior pack (if present)

      • Either special dual balloon catheters (Epistat®, Brighton®) or Foley® catheter with a large balloon (20-30ml) can be used and are passed through the nose until just seen in the oropharynx, retracted slightly towards the nasopharynx and then the posterior balloon (or 5 to 10ml of a single Foley balloon) is inflated. The balloon is then gently pulled forward so that it is seated in the nasopharynx as a tamponade against the bleeding. Then the second anterior balloon can be inflated or an anterior pack inserted.

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