A randomized trial of Rapid Rhino Riemann and Telfa nasal packs following endoscopic sinus surgery

Cruise, A.; Amonoo-Kuofi, Kwamena; Srouji, Ibrahim Albert; Kanagalingam, Jeevendra; Georgalas, Christos; Patel, Neil N.; Badia, Lydia; Lund, Valerie J.

doi:10.1111/j.1749-4486.2006.01122.x

Cited by 34 publications

(40 citation statements)

References 11 publications

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“…Is the reduction in pain scores also clinically significant? In the literature, a change of 0.9 -1.5 (or 2) on a 0 -10 point scale or a 10% difference between groups is usually considered to be clinically significant (Kelly 1998;Abbot et al 2001;Douglas et al 2006;Cruise et al 2006; Appell et al 2006). In our study, the reduction was 1.55 VAS points, corresponding to 23%, indicating that our results are clinically significant.…”

Section: Discussionsupporting

confidence: 61%

Treatment of dysmenorrhoea with a new TENS device (OVA)

Schiøtz

Jettestad

Al-Heeti

2007

Journal of Obstetrics and Gynaecology

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Transcutaneous electrical nerve stimulation (TENS) is an established method for pain relief in dysmenorrhoea, which does not involve the use of medication. This prospective study evaluated the clinical utility of a new, very small and light, high frequency TENS device in 21 menstruating women during four menstrual cycles. The efficacy measures were pain relief evaluated on a VAS scale and reduction in use of analgesic tablets. All the participants subjectively found the device useful. There was a statistically significant drop in mean pain score from 6.73 to 5.18 points (p = 0.0009). Concurrent use of analgesic tablets was also significantly reduced (p = 0.03) and seven women stopped taking analgesics while using the device (p = 0.02). There were no adverse events. On follow-up 6 - 8 months post study, 14 of the women were still using the device regularly. This TENS device appears to be a useful treatment alternative for dysmenorrhoea.

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Section: Discussionsupporting

confidence: 61%

Treatment of dysmenorrhoea with a new TENS device (OVA)

Schiøtz

Jettestad

Al-Heeti

2007

Journal of Obstetrics and Gynaecology

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“…The advantages and disadvantages of the nasal packs vary depending on the type. One of the major concerns of patients is the pain associated with packing material, especially during its removal [8]. Nasal fullness is another discomfort caused by the nasal packs.…”

Section: Discussionmentioning

confidence: 99%

Nasal septal packing: which one?

Acıoğlu¹,

Edızer²,

Yiğit³

et al. 2011

Eur Arch Otorhinolaryngol

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The aim of this study was to investigate the effects of four different types of nasal packs on pain, nasal fullness and postoperative bleeding following septoplasty. Prospective randomised double blind study was conducted. The study group included 119 patients who underwent endonasal septoplasty under general anaesthesia. Four types of nasal packing materials were utilized: (1) Merocel standard 8-cm nasal dressing without airway, (2) Doyle Combo splint (DCS), (3) Merocel in a glove finger and (4) Vaseline gauze. All packs were removed at the 48th hour (±3 h) after the surgery. Three different variables were investigated following the surgical procedure: (1) pain, (2) nasal fullness and (3) bleeding after removal of the nasal packing material. DCS produced the greatest pain at the first and sixth postoperative hours. At the first postoperative day, the greatest pain score was reported for Merocel in the glove finger and the least for Merocel. The pain scores during the removal of the nasal packings were highest for Merocel and lowest for Merocel in the glove finger. DCS had the lowest nasal fullness score. Bleeding ratio was highest for Merocel, followed by Vaseline gauze, DCS and Merocel in the glove finger. Many different commercially available packing materials are presently used, each with inherent advantages and disadvantages. We evaluated the pain, nasal fullness and bleeding potential of four nasal packing materials and determined that Merocel had the highest pain potential during removal and the highest rate of bleeding following removal.

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“…10 Thus, maximum pain control during and after removal of nasal packs is a major goal of any septoplasty operation. One of the major concerns of patients is the pain, especially during pack removal.…”

Section: Discussionmentioning

confidence: 99%