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Mon Jan 22 13:59:41 GMT 2007

Having been in this position I would suggest that rather
than "packing" the nasopharynx that the foley catheters be
advanced into the hypopharynx, inflated and then pulled
back under tension, with the nasal passages being
subsequently packed with gauze as you would normally do.

Or is that what you did?

R Wigle MD
--- navin goyal <drnavingoyal at yahoo.co.in> wrote:

> Dear Friends , 
> 
> I packed both the nasopharynx with the foleys catheter
> but the bleeding did not stop . Is packing oral cavity
> effective . I believe it may not be because it is a big
> cavity . It was not possible to take the patient
> immediately to angio as in our hospital the angio
> facality are not next door to the resuscitation centre,
> and the condition of the aptient ( hypovolemic shock) did
> not gave any time to think of shifting . 
> 
> The worst part was that I helplessly saw patient dying in
> front of me . 
> 
> Navin Goyal 
> 
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Patient with oral bleed