What is Merocel packing?
Merocel (Medtronic Inc., Minneapolis, MN, USA), one of the most common nonabsorbable nasal packing materials, is a compressed, dehydrated sponge composed of hydroxylated polyvinyl acetate that can increase in size within the nasal cavity and compress a bleeding vessel through rehydration with normal saline.
How do you use Merocel nasal pack?
The Merocel nasal tampon is made of polyvinyl alcohol, which is a compressed foam polymer that is inserted into the nose and expanded by application of water. The nasal tampon swells and fills the nasal cavity and applies pressure over the bleeding point.
How long does it take for dissolvable nasal packing to dissolve?
When hydrated, the biopolymer gradually transforms into a muco-adhesive gel in approximately 24-48 hours. It separates mucosal surfaces and slowly dissolves after approximately 2 weeks, eliminating the need for painful nasal packing removal for your patients.
What are the types of nasal packing?
Nasal packing typically can take two different forms, absorbable and nonabsorbable, which will be detailed later in this article. Nasal packing has limitations including reduced ventilation, sleep apnea, and general patient discomfort.
When can I remove Merocel nasal pack?
Merocel nasal packs are useful tampons with ease of use and effective control of bleeding after surgery. There are disadvantage of patient discomfort while removing the nasal packing. The packings can be removed 24-48 hours after operation (1).
How do you insert nasal packing?
To insert an inflatable tampon: Insert the device perpendicular to the face and advance it parallel to the floor of the nasal cavity until the plastic ring is within the nasal cavity. Inflate the device with air using a 20-mL syringe until the pilot cuff becomes rounded and firm.
Can you swallow nasal packing?
We report a rare case of accidental ingestion of nasal packing gauze during an en-DCR under local anesthesia. A fallen nasal packing gauze into the throat or deeper potentially results in serious complication such as airway obstruction , aspiration , and bowel perforation .
How painful is nasal packing removal?
It takes about five minutes to work. Patients are pleasantly surprised when the packing removal generates hardly any discomfort because of the combination of the oral pain medication as well as the liquid pain medication that was instilled into the nasal interior.
What is the point of nasal packing?
After a nose injury or surgery, gauze is packed high up into the nose. It soaks up fluids that drain from the nose, such as blood. The doctor may change the gauze. Or he or she may leave it in place for a few days.
Does nasopore work better than Merocel for nasal packing?
Compared with Merocel, Nasopore significantly reduced patients’ subjective symptoms including in situpain (pain experienced while packing is in place), nasal pressure, pain and bleeding during packing removal, and increased patients’ general satisfaction with nasal packing.
What is the size of The Merocel nasal dressing?
Merocel Nasal Dressing, 4.5 cm 20/PK Stock Allocated QTY: / Remaining QTY: / Allocation Reset Date: XOM400403 Merocel Standard Nasal Dressing, 8 cm
What is the best treatment for postoperative packing of nasal polyps?
Interventions: Nasopore or Merocel was applied for postoperative packing. Outcomes: Headache, fever, pain and bleeding upon removal of the packing, nasal adhesion. Shoman 2009
What is a Merocel hemox sponge used for?
Merocel hemoX sponges are designed for many applications in a range of sizes and styles. Nasal dressings are available with or without airway tubes. • Atraumatic removal • Ideal for use following septoplasty, rhinoplasty, turbinectomy and other intranasal procedures