Related Experiment Video
Updated: Jul 19, 2026
03:51
Establishment of an Oronasal Fistula Mice Model
Published on: September 8, 2023
Epistaxis management in Nigeria: strength, challenges and recommendations
Oyeleye A Oyelakin1, Samuel O Ayodele2, Ayotunde J Fasunla3
1The Newcastle upon Tyne Hospitals NHS Foundation Trust, United Kingdom.
Summary
Epistaxis (nosebleed) management in Nigeria is safe but resource-limited. Advancing endoscopic care and local guidelines are crucial for improving practice, especially in primary and secondary facilities.
Area of Science:
- Otolaryngology
- Rhinology
- Healthcare Management
Background:
- Epistaxis management in Nigeria faces challenges due to limited resources and specialist availability.
- Current practices are reviewed within the framework of global rhinology standards.
Purpose of the Study:
- To review epistaxis management in Nigeria.
- Identify strengths for consolidation and gaps for recommendations.
- Align Nigerian practice with global rhinology standards.
Main Methods:
- Literature review of epistaxis management in Nigeria.
- Analysis of current practices in primary, secondary, and tertiary healthcare facilities.
- Assessment of available resources and specialist interventions.
Main Results:
- Otolaryngological interventions dominate tertiary care, indicating a lack of specialists and equipment in lower-tier facilities.
- Endoscopic interventions are emerging but not widely accessible.
- Rhinology fellowships and interventional radiology offer future improvements.
Conclusions:
- Epistaxis management in Nigeria is safe despite resource limitations.
- Progress in endoscopic management is noted, but accessibility remains a challenge.
- Inclusive advancement, local guidelines, and strengthened primary/secondary healthcare systems are recommended.
Related Concept Videos
01:26Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Administering Oxygen by Nasal Cannula
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...