phenylephrine-hydrochloride and Gastrointestinal-Hemorrhage

Serious complications of cosmetic rhinoplasty are extremely rare. However, awareness of their existence is essential so that the surgeon can minimize the potential hazards of the procedure. This demands a careful preoperative examination, a meticulous intraoperative technique, and a careful postoperative monitoring of the patient. The complications of rhinoplasty have been classified into infectious, traumatic, hemorrhagic, systemic, and miscellaneous groups. The pertinent literature is reviewed, as well as cases of inclusion cyst formation, disturbance of eye closure, local activation of systemic disease, and fatalities from intracranial injury with brain laceration and pneumocephalus.

Topics: Adolescent; Adult; Aged; Anesthesia; Arteriovenous Fistula; Bacterial Infections; Endocarditis; Female; Gastrointestinal Hemorrhage; Hemorrhage; Humans; Intraoperative Care; Male; Middle Aged; Nose; Pneumocephalus; Postoperative Care; Radiography; Rhinoplasty

Topics: Aged; Cheek; Epistaxis; Gastrointestinal Hemorrhage; Humans; Male; Nose; Telangiectasia, Hereditary Hemorrhagic

Topics: Child; Drug Administration Routes; Endoscopy, Digestive System; Esophageal and Gastric Varices; Female; Gastrointestinal Hemorrhage; Hematemesis; Humans; Nose; Sclerotherapy; Treatment Outcome

Topics: Adult; Arteriovenous Fistula; Diagnosis, Differential; Endoscopy, Gastrointestinal; Epistaxis; Female; Gastrointestinal Hemorrhage; Hematemesis; Humans; Nose; Postoperative Hemorrhage; Sphincterotomy, Endoscopic

The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for provision of nutrition. One hundred patients in group 2 were treated according to an organised nutrition protocol. The protocol initiates total parental nutrition (TPN) if the patient is not tolerating an oral diet by day 5. All group 2 patients met their total energy requirements (TER) within 48 hours after initiating caloric supplementation. The overall incidence of acute acid peptic ulceration leading to significant bleeding or perforation was 4%. Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury.

Topics: Adult; Female; Gastric Acid; Gastrointestinal Hemorrhage; Humans; Male; Nose; Parenteral Nutrition, Total; Spinal Cord Injuries; Stomach Ulcer; Stress, Physiological; Suction

Epistaxis was diagnosed in 10 patients with apparent upper gastrointestinal bleeding, comprising a 0.55% incidence of hematemesis and melena in the population studied. A sufficient amount of blood can be swallowed during epistaxis to cause hematemesis and melena. Recent facial trauma or epistaxis, absence of a history of chronic dyspepsia, and impairment of blood coagulation emerge as strong indicators of the diagnosis and should lead to a careful examination of the nose and nasopharynx for the source of bleeding.

Topics: Adult; Aged; Diagnosis, Differential; Epistaxis; Female; Gastrointestinal Hemorrhage; Hematemesis; Humans; Male; Melena; Middle Aged; Nose

Topics: Anti-Bacterial Agents; Barium Sulfate; Biopsy; Colonic Diseases; Endoscopy; Female; Gastrointestinal Hemorrhage; Humans; Intubation, Gastrointestinal; Middle Aged; Nose; Rectum; Sigmoidoscopy

Topics: Adult; Aged; Endoscopy; Esophageal and Gastric Varices; Esophagoscopy; Female; Fiber Optic Technology; Gastrointestinal Hemorrhage; Gastroscopy; Humans; Intubation, Gastrointestinal; Liver Cirrhosis; Male; Middle Aged; Nose; Recurrence