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(Created page with "==Barotrauma of Descent== #Otic Barotrauma ("ear squeeze") ##Results from inability to equalize middle ear pressure ##Pain, fullness, vertigo, conductive hearing loss ##Treatment...") |
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==Barotrauma of Descent== | ==Barotrauma of Descent== | ||
#Face Squeeze | |||
##Occurs when air is not added to the facemask during descent | |||
###Facial bruising, conjunctival injection or hemorrhage, retrobulbar hemorrhage (rare) | |||
#Otic Barotrauma ("ear squeeze") | #Otic Barotrauma ("ear squeeze") | ||
##Results from inability to equalize middle ear pressure | ##Results from inability to equalize middle ear pressure | ||
##Pain, fullness, vertigo, conductive hearing loss | ##Pain, fullness, vertigo, conductive hearing loss, TM rupture | ||
## | ##Tx = decongestants, consider abx if TM ruptured | ||
#Sinus barotrauma ("sinus squeeze") | #Sinus barotrauma ("sinus squeeze") | ||
##Pain over affected sinus, possible bleeding from nare | ##Pain over affected sinus, possible bleeding from nare | ||
##Treatment = Decongestants, consider antibiotics | ##Treatment = Decongestants, consider antibiotics | ||
#Inner ear barotrauma | #Inner ear barotrauma | ||
##Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo | ##Results from forceful Valsalva against an occluded eustachian tube | ||
###Pressure difference between middle ear and inner ear can rupture oval or round window | |||
##Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo | |||
##Treatment = Head of bed up, no nose blowing, antivertigo medications | ##Treatment = Head of bed up, no nose blowing, antivertigo medications | ||
##Urgent ENT consult as some surgeons advocate early exploration | ##Urgent ENT consult as some surgeons advocate early exploration | ||
==Barotrauma of Ascent== | |||
Revisión del 22:02 13 sep 2011
Barotrauma of Descent
- Face Squeeze
- Occurs when air is not added to the facemask during descent
- Facial bruising, conjunctival injection or hemorrhage, retrobulbar hemorrhage (rare)
- Occurs when air is not added to the facemask during descent
- Otic Barotrauma ("ear squeeze")
- Results from inability to equalize middle ear pressure
- Pain, fullness, vertigo, conductive hearing loss, TM rupture
- Tx = decongestants, consider abx if TM ruptured
- Sinus barotrauma ("sinus squeeze")
- Pain over affected sinus, possible bleeding from nare
- Treatment = Decongestants, consider antibiotics
- Inner ear barotrauma
- Results from forceful Valsalva against an occluded eustachian tube
- Pressure difference between middle ear and inner ear can rupture oval or round window
- Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo
- Treatment = Head of bed up, no nose blowing, antivertigo medications
- Urgent ENT consult as some surgeons advocate early exploration
- Results from forceful Valsalva against an occluded eustachian tube
Barotrauma of Ascent
Source
Tintinalli