Epistaxis Clinical Trial
Official title:
Control of Epistaxis With Surgiflo
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 the investigators 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.
The investigators 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 the investigators will put surgiflo and
not in the other.The patient will be admitted to the hospital. The investigators will see
the difference in the hospital staying and in the effects in the nose, including discomfort
or pain. The investigators will report age, gender, other diseases or treatments of the
patients,type and length of bleeding, transfusions needed, arterial tension, coagulation. To
do that the investigators will make hematological tests for haemoglobin and coagulation. To
know the discomfort of the device the investigators will give the patient an analog visual
scale in the moment the investigators will put the device, the day after and in any of the
next visits. The patient can go home again after 16h without bleeding and the investigators
will 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 the investigators can compare
the discomfort.
The investigators have make statistic analysis, and they will need 24 patients for this
trial. The investigators will need 2 years, approximately, to recruit them.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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