2017
DOI: 10.1017/s0022215117002055
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Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review

Abstract: Rapid Rhino packs are the best tolerated, with efficacy equivalent to nasal tampons. FloSeal is easy to use, causes less discomfort and may be superior to Merocel in anterior epistaxis cases. There is no strong evidence to support prophylactic antibiotic use.

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Cited by 41 publications
(36 citation statements)
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“…(7a) The clinician should perform, or should refer to a clinician who can perform, nasal endoscopy to identify the site of bleeding and guide further management in patients with recurrent nasal bleeding, despite prior treatment with packing or cautery, or with recurrent unilateral nasal bleeding. (8) The clinician should treat patients with an identified site of bleeding with an appropriate intervention, which may include 1 or more of the following: topical vasoconstrictors, nasal cautery, and moisturizing or lubricating agents. (9) When nasal cautery is chosen for treatment, the clinician should anesthetize the bleeding site and restrict application of cautery only to the active or suspected site(s) of bleeding.…”
mentioning
confidence: 99%
“…(7a) The clinician should perform, or should refer to a clinician who can perform, nasal endoscopy to identify the site of bleeding and guide further management in patients with recurrent nasal bleeding, despite prior treatment with packing or cautery, or with recurrent unilateral nasal bleeding. (8) The clinician should treat patients with an identified site of bleeding with an appropriate intervention, which may include 1 or more of the following: topical vasoconstrictors, nasal cautery, and moisturizing or lubricating agents. (9) When nasal cautery is chosen for treatment, the clinician should anesthetize the bleeding site and restrict application of cautery only to the active or suspected site(s) of bleeding.…”
mentioning
confidence: 99%
“…Each domain was assigned coauthors from locations throughout the UK. Within the domains, a total of 15 systematic reviews [8][9][10][11][12] were conducted, with the support of Cambridge and Exeter Universities plus the Defence Military Library. A robust yet pragmatic methodology was followed including validated assessment of bias [13][14] , capturing all relevant published evidence of level 3 and above.…”
Section: Rigour Of Developmentmentioning
confidence: 99%
“…Rapid Rhino ™ nasal tamponades have altered the management of epistaxis since their introduction. 19,20 They are comparatively well tolerated by patients, and easier to apply than previous methods of anterior and posterior nasal packing. Their ease of use has some drawbacks though; notably, non-specialists can pack a nose prior to referral to the ENT department.…”
Section: Resultsmentioning
confidence: 99%