Diseases of the nose and throat . ll become wedged between the velum and thepharynx and prove ineffective. Traction now being made on theligature attached to the post-nasal plug, an anterior plug should beput in so as to completely fill the nasal fossa. The plug thus intro-duced should be removed not later than forty-eight hours; if left inbeyond that time it is apt to become a source of danger from decom-position. Before attempting to remove the plugs it is wise to softenthem thoroughly by soaking with oil or fluid vaseline. The nasal EPISTAXIS. 173 hemostat of A. Cooper Rose consists of a ha
Diseases of the nose and throat . ll become wedged between the velum and thepharynx and prove ineffective. Traction now being made on theligature attached to the post-nasal plug, an anterior plug should beput in so as to completely fill the nasal fossa. The plug thus intro-duced should be removed not later than forty-eight hours; if left inbeyond that time it is apt to become a source of danger from decom-position. Before attempting to remove the plugs it is wise to softenthem thoroughly by soaking with oil or fluid vaseline. The nasal EPISTAXIS. 173 hemostat of A. Cooper Rose consists of a hard-rubber tube coveredwith a soft-rubber bag which after its introduction is injected withair or water. It adapts itself to the irregularities of the walls of thenasal fossa in such a way as to exercise uniform pressure (Fig. 68).The withdrawal of the tube may be effected by turning a stop-cockat its end and allowing the air or water with which the bag is inflatedto escape. A similar apparatus may be constructed out of a flexible. Fig. 68. Cooper Roses Nasal Hemostat. catheter covered by a rubber hood. In treating cases of epistaxistoo much emphasis cannot be laid upon the desirability of avoidingthe so-called styptics, especially the iron preparations. In severecases they are not only ineffective but they produce a very disagree-able mess in the nasal fossa and, in all probability, the hemorrhagewhich they are able to control would cease spontaneously. Hemor-rhages of moderate severity may be checked by directing the patientto stand erect with both arms elevated above the head, in order todivert the blood pressure from the head to the upper extremities.
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
