12/2/2023 0 Comments Rhino 7 2 pack![]() ![]() "Need anything else?" I think he wanted me to get the hell out of there. Goddard JC, Reiter ER (2005) Inpatient management of epistaxis: outcomes and cost."I don't know," he said, shrugging. Arch Otolaryngol Head Neck Surg 126:1130–1134 Lee WC, Ku PK, van Hasselt CA (2000) Foley catheter action in the nasopharynx: a cadaveric study. Monte ED, Belmont MJ, Wax MK (1999) Management paradigms for posterior epistaxis: a comparison of costs and complications. Sheen TS, Ko JY, Hsu YH (1997) Pyogenic granuloma–an uncommon complication of nasal packing. Laryngoscope 117:1683–1684īryan NL, Hertler MA (2010) A report of CSF leak as a complication of nasal packing for epistaxis. Guss J, Cohen MA, Mirza N (2007) Hard palate necrosis after bilateral internal maxillary artery embolization for epistaxis. Hashmi SM, Gopaul SR, Prinsley PR, Sansom JR (2004) Swallowed nasal pack: a rare but serious complication of the management of epistaxis. Ogretmenoglu O, Yilmaz T, Rahimi K, Aksöyek S (2002) The effect on arterial blood gases and heart rate of bilateral nasal packing. Ozcan C, Vayisoglu Y, Kilic S, Gorur K (2008) Comparison of rapid rhino and Merocel nasal packs in endonasal septal surgery. Laryngorhinootologie 90(8):476–480Īrya AK, Butt O, Nigam A (2003) Double-blind randomised controlled trial comparing Merocel with Rapid Rhino nasal packs after routine nasal surgery. Hosemann W, Loew TH, Forster M, Kühnel T, Beule AG (2011) Perioperative pain and anxiety in endoscopic sinus surgery. Smyth C, Hanna B, Scally C (2009) Rapid Rhino ™ nasal packs: demonstration of depression but not deflation. Kristiansen AB, Heyeraas KJ, Kirkebø A (1993) Increased pressure in venous sinusoids during decongestion of rat nasal mucosa induced by adrenergic agonists. Mackeith SA, Hettige R, Falzon A, Draper M (2011) The relationship between pressure and volume when using Rapid Rhino ® packs in the management of epistaxis. Pothier DD, Hall CE, Gillett S, Nankivell P (2007) Timing of co-phenylcaine administration before rigid nasendoscopy: a randomized, controlled trial. Spielmann PM, Barnes ML, White PS (2012) Controversies in the specialist management of adult epistaxis: an evidence-based review. Although this extra pressure may be enough to tamponade further venous bleeding without significantly increasing a subject’s discomfort, the high levels of pack pressure required, make this unlikely to be of significant use in the clinical setting. It is possible to increase the ipsilateral nasal cavity pressure by inserting a contralateral nasal pack. This effect was only statistically significant at intra-nasal pressures of 140 mmHg and above (Wilcoxon Signed-Rank test, p < 0.02). At higher pressures, the subjects reported lower mean pain scores when bilateral packs were used compared to unilateral. ![]() This change in ipsilateral intra-nasal pressure is greater at higher total inflation pressures. Higher ipsilateral intra-nasal pressures are achieved when additional contralateral nasal packs are inflated. ![]() This procedure was repeated at incremental pressures. The subject’s level of discomfort was scored on a visual analogue scale. The contralateral pack was inflated to match, and any intra-nasal pressure change on the first side was measured. The first pack was inflated to a pre-determined pressure. Rapid Rhino ® 5.5 cm anterior packs were inserted bilaterally following topical nasal preparation with co-phenylcaine. 15 volunteers were recruited according to strict criteria. There is little evidence to suggest that bilateral nasal packing increases intra-nasal pressures compared to a single pack (or is well tolerated) for uncontrolled unilateral epistaxis, but it is often performed and justified on those grounds. ![]()
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