If ribbon gauze is not used I can't see there being a risk of aspiration.
Our local ENT Consultants don't see any point in admitting patients with
nasal tampons (eg merocel) in place. When I asked why other departments do I
was given the response " so that they can protect their beds!"
Ray McGlone
A&E Lancaster
----- Original Message -----
From: "Goat" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, May 05, 2002 10:09 PM
Subject: Re: Nose bleeds
> In article <003001c1f2c8$42b7d750$0100a8c0@DADS>, Ray McGlone
> <[log in to unmask]> writes
> > Does anyone have experience of using the new nasal pack for nose
> > bleeds. An animated cartoon demonstrating the technique is
> > available on www.rapidrhino.com
>
> I note the patient is shown apparently being discharged home with his
> balloon up his nose, taped securely to his cheek. We always used to
> discharge patients with old fashioned nasal packs (ends of ribbon gauze
> tied securely in the open), for removal on return the next day. No
> apparent problems with this policy. A few years ago, we were advised by
> ENT bods that all such patients need admission. This struck us back-
> woods types as slightly unnecessary, but we complied as the reason
> involved patient safety and an aspiration risk.
>
> We have occasionally used nasal tampons or balloons without fancy
> haemostatic coatings, +/- packs, with less success at stopping bleeds.
>
> Do others on the list admit all their nose bleeders once packed?
> Does it make a difference to admit or not, whether its a ribbon-gauze
> pack or a balloon or a nasal tampon?
>
> Dr G Ray
> A&E
> Sussex
> Reply to [log in to unmask]
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