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This is a blind trial to test if Surgiflo is effective in posterior epistaxis. After the investigators see than anterior tamponade is not effective stopping epistaxis, the investigators try using Surgiflo and if it does not work the investigators continue with a nasal catheter. This is the usual way to stop nasal bleeding, but is painful and has serious after-effects in the nose. Surgiflo is a hemostatic matrix that can be put into the nose, painlessly and easily. So the investigators think it can be useful controlling nasal bleeding, so the investigators could avoid to put nasal catheters in these patients.
Epistaxis is one of the most frequent diseases in Otolaryngology emergencies. Most of them are anterior and stop with an anterior packing. Some of them does not stop with this, therefore we have to put into the nose a catheter balloon. This is very painful and has many after-effects in the nose.
Surgiflo is a haemostatic matrix used for bleeding.
We have design a trial to know if some people can benefit from Surgiflo instead to put a nasal catheter.
This a randomized trial with two arms. In one arm we'll put surgiflo and not in the other.The patient will be admitted to the hospital. We'll see the difference in the hospital staying and in the effects in the nose, including discomfort or pain. We´ll report age, gender, other diseases or treatments of the patients,type and length of bleeding, transfusions needed, arterial tension, coagulation. To do that we'll make hematological tests for haemoglobin and coagulation. To know the discomfort of the device we'll give the patient an analog visual scale in the moment we put the device, the day after and in any of the next visits. The patient can go home again after 16h without bleeding and we'll see the patient again in the office after 15 days, 1, 3 and 6 months.
All the patients will receive the same analgesic protocol so we can compare the discomfort.
We have make statistic analysis, and we'll need 24 patients for this trial. We´ll need 2 years, approximately, to recruit them.
Allocation: Randomized, Control: Active Control, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Surgiflo, Nasal catheter
Ramon y Cajal Hospital
Hospital Universitario Ramon y Cajal
Published on BioPortfolio: 2014-08-27T03:16:34-0400
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A disease characterized by the chronic, progressive spread of lesions from New World cutaneous leishmaniasis caused by species of the L. braziliensis complex to the nasal, pharyngeal, and buccal mucosa some time after the appearance of the initial cutaneous lesion. Nasal obstruction and epistaxis are frequent presenting symptoms.
Fluid obtained by irrigation or washout of the nasal cavity and NASAL MUCOSA. The resulting fluid is used in cytologic and immunologic assays of the nasal mucosa such as with the NASAL PROVOCATION TEST in the diagnosis of nasal hypersensitivity.
The proximal portion of the respiratory passages on either side of the NASAL SEPTUM. Nasal cavities, extending from the nares to the NASOPHARYNX, are lined with ciliated NASAL MUCOSA.
Application of allergens to the nasal mucosa. Interpretation includes observation of nasal symptoms, rhinoscopy, and rhinomanometry. Nasal provocation tests are used in the diagnosis of nasal hypersensitivity, including RHINITIS, ALLERGIC, SEASONAL.
A hindrance to the passage of fluids through a CATHETER.
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...