Merocel packing to Manage Diffuse Epistaxis in Patients at rural health care facilities.

AVISHEK DHIMAN; ANSHUL KUMAR

Volume : IX, Issue : VI, June - 2020

Merocel packing to Manage Diffuse Epistaxis in Patients at rural health care facilities.

Avishek Dhiman, Anshul Kumar

Abstract :

Epistaxis, or nasal bleeding, is common emergency encountered by ent specialist at all level of health care services. It is due to various etiological factors and also affects both male and female and almost all age groups. Common treatment of a nosebleed is pinching of nose between thumb and finger to apply pressure, referred to as the Hippocratic technique to stop nose bleed. In our study, we used different treatments depending on the severity of nasal bleeding,the etiology and efficacy of these modalities. This was a prospective study. We recruited 30 patients (16 at civil hospital jawalamukhi and 14 at civil hospital nagrota baghwan) who presented with epistaxis in the ENT departments. We evaluated the etiology of epistaxis and efficacy of the treatments used. The patients had multiple episodes of epistaxis and were managed using anterior nasal packing with ointment and with Merocel alone. The incidence of epistaxis was more common in males than in females. It was effectively managed by anterior nasal packing with Merocel. After removal of merocel pack patients did not reported further bleeding.