Intracranial placement of a Foley catheter: A rare complication

Woo, Hyun‐Jae; Bai, Chang Hoon; Song, Si-Youn; Kim, Yong‐Dae

doi:10.1016/j.otohns.2007.10.003

Cited by 9 publications

(7 citation statements)

References 4 publications

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“…There are four reported patients who had nasal packing/tubing being inserted intracranially [3][4][5][6]. Additionally, there are two case reports to date of foley catheters and nasal packing for spontaneous epistaxis causing diplopia and blurred vision [7,8].…”

Section: Discussionmentioning

confidence: 99%

A rare complication of Epistats

Poulgrain

Tollesson

2015

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

A rare complication of Epistats

Poulgrain

Tollesson

2015

Journal of Clinical Neuroscience

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“…The allocation of the Foley catheter in these situations becomes critical because during the procedure does not need to have a portion thereof inserted into the nasal cavity, thus causing errors in positioning. In this case the insertion should be done under direct vision / indirect probe, where the floor of the nasal cavity, and confirmation of the presence of the same in the oropharynx before inflating the balloon are essential as is the use of larger diameter catheter possible 4 .…”

Section: Discussionmentioning

confidence: 99%

Severe complication of posterior nasal packing: Case Report

Pinto¹,

Cintra

Sônego³

et al. 2012

Int Arch Otorhinolaryngol

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Summary Introduction: Severe Epistaxis is common in patients with head trauma, especially when associated with multiple fractures of the face and skull base. Several methods of controlling bleeding that can be imposed. The anterior nasal tapenade associated with posterior Foley catheter is one of the most widespread, and the universal availability of necessary materials or their apparent ease of execution. Methods: Case report on control of severe epistaxis after severe TBI, with posterior nasal packing by Foley catheter and control tomography showing multiple fractures of the skull base and penetration of the probe into the brain parenchyma. Conclusion: This is a rare but possible complication in the treatment of severe nose bleeds associated with fracture of the skull base. This brief report highlights risks related to the method and suggests some care to prevent complications related through a brief literature review.

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“…[1] Attempts of controlling epistaxis with Foley catheter with inadvertent intracranial placement as a rare entity have been reported. [2,3] In spite of being a relative contraindication in the setting, [3] the ease of availability and use makes Foley catheter an essential option to overcome the emergency. Some important measures need to be exercised for its safe and effective use.…”

Section: Discussionmentioning

confidence: 99%

Intracranial Foley catheter — Inadvertent malpositioning in setting of severe craniofacial trauma

Sarkari¹,

Tandon²,

Agrawal³

et al. 2012

IJNS

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of insertion should be parallel to floor of nasal cavity along inferior meatus under direct visualization and balloon inflated only after tip identified in oropharynx. Use of large diameter catheters is suggested as they are less prone to intracranial migration. If feasible, lateral skull radiographs preferably with contrast medium in the balloon should be taken during the procedure to confirm the position of tip [2] and a repeat CT scan should be done.

show abstract

Intracranial placement of a Foley catheter: A rare complication

Cited by 9 publications

References 4 publications

A rare complication of Epistats

A rare complication of Epistats

Severe complication of posterior nasal packing: Case Report

Intracranial Foley catheter — Inadvertent malpositioning in setting of severe craniofacial trauma

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