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Inflation of Foley catheters for postnasal packing

Published online by Cambridge University Press:  14 April 2010

M Rashid*
Affiliation:
Department of Otolaryngology, Tameside Hospital, Ashton-under-Lyne, UK
Y Karagama
Affiliation:
Department of Otolaryngology, Tameside Hospital, Ashton-under-Lyne, UK
*
Address for correspondence: Mr Mamun Rashid, ENT Department, Ward 29, Charlesworth Building, Tameside Hospital, Ashton-under-Lyne OL6 9RW, UK. Fax: (0)161 331 6457 E-mail: mamunrashid@doctors.net.uk

Abstract

Background:

Foley catheters are commonly used to control posterior epistaxis in most ENT departments. There are very few studies of the ideal substance for inflating Foley catheters for posterior epistaxis. This in vitro study compared the effects of water, saline and air in delivering effective tamponade.

Methods:

Three groups of five Foley catheters each were filled with 10 ml of water, saline or air. Forty-eight hours later, the residual volume was aspirated and measured.

Results:

At 48 hours, the following residual volumes were aspirated: air, 0 ml; saline, 8.5 ml; and water, 8.7 ml.

Conclusion:

This study shows that air is not suitable for inflating Foley catheters, as they had spontaneously deflated when assessed 48 hours after inflation. We hypothesise that water is a better Foley catheter inflation fluid than saline. We recommend a larger, in vivo study to ascertain the benefits of these Foley catheter inflation substances in curtailing epistaxis in the clinical setting.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Emanuel, JM. Epistaxis. In: Cummings, CW, Fredrickson, JM, Harker, LA, Krause, CJ, Richardson, MA, Schuller, DE, eds. Otolaryngology Head and Neck Surgery. St Louis: Mosby Year Book, 1998;852–65Google Scholar
2McFerran, DJ, Edmonds, SE. The use of balloon catheters in the treatment of epistaxis. J Laryngol Otol 1993;107:197200CrossRefGoogle ScholarPubMed
3Hartley, C, Axon, PR. The Foley catheter in epistaxis management – a scientific appraisal. J Laryngol Otol 1994;108:399402Google Scholar
4Kirkham, A, Ho, S. Radiological interventions in gastrointestinal and urological oncology. Semin Roentgenol 2007;42:191204CrossRefGoogle ScholarPubMed