xRead - Nasal Obstruction (September 2024) Full Articles

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612

International consensus statement on rhinosinusitis

Gloved Merocel R vsMerocel R Bleeding on pack removal Gloved Merocel R had40 gm less blood loss than ungloved Merocel R

Floseal R vsMerocel R Hemostasis Removal of Merocel R associated with

(Continues)

Post-operative Hemostasis Surgicel R use had less bleeding on pack removal compared to Merocel R or petroleum ointment gauze

Post-operative hemostasis Only significant difference on post-operative day 1 Quixil R significantly

increased bleeding No significant

postoperative bleeding

complications reported

better for all types of

bleeding and bleeding upon removal. No difference in late bleeding.

The number of gauze changes at 1,4,16,20 hours were not

significantly different

between the 2 groups

Author Year LOE Study Design Materials Outcome Measure Findings Mo 1887 2013 2 DBRCT

30 patients – 60 sides Nasopore R vsMerocel R Postoperative hemostasis No significant difference Vaiman 2172 2005 2 RCT 91 patients Quixil R vsMerocel R All types of bleeding

Bleeding after removal Late Bleeding > 30hours

Post-operative bleeding as determined by the

number of gauze changes

Significant postoperative bleeding requiring intervention

Surgicel R vsMerocel R or

Nasopore R soaked in lidocaine vs Nasopore R

petroleum ointment gauze

Microporous polysaccharide hemospheres vs no packing

147 unpacked 19packed

4 hemostatic agents used

undergoing ESS

50 patients - 100 sides Orlandi 2162 2004 4 Retrospective case series

165 patients -169 sinus surgical procedures

Baumann 2171 2003 3 Individual case control

63 patients – 123 sides

Kim 2178 2012 2 RCT

15 patients – 30 sides

Antisdel 2161 2009 2 Single blinded RCT Shoman 2180 2009 2 RCT

40 patients – 80 sides

48 sides Merocel 43 sides Quixil

Shinkwin 2175 1996 2 RCT

60 patients -120 sides

TABLE XII-21 (Continued)