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Question

Posted on: March 6 2013

The nose of one of my patients is very irritated by the almost continuous use of the oxygen glasses. They absolutely want a ointment for the nose because a saline solution

In the form of a nasal spray helps insufficient. What can be used?
< br/> The nurse had found Vitapanthol (but still contains petroleum jelly?), the Doctor prescribes Cavilon Creme (but this contains paraffin and Cocosnootolie?). And fats are out of the question in oxygen therapy. A prof thinks that Unguentum Aquosum is the solution (but here is also Vaseline and paraffin). While Prof. Willems claims that a little Vaseline cannot hurt.

Answer

Secundum Prof. Willems, the use of paraffin/petroleum jelly in combination with oxygen has always been a discussion point. He writes: "At the time I contacted several anaesthesists and they have never seen any literature on it or burns. For me, that has long been a matter of being dismissed: no interaction. " However, this does not eliminate the fact that fats are paralysed on the cilia of the nasal mucosa and may therefore be best avoided.
on the Internet, the following information could be found:
Water soluble saline gel spray for prolonged moisturization of dry nasal passages, with Sodium Hyaluronate and Aloe Vera. Provides long lasting mositure to soothe and hydrate dry, irrated nasal passages caused by indoor heat and dry climates. Good for nasal dryness experienced during oxygen and CPAP use, as well as by dryness caused by atrophic rhinitis and post radiation therapy. Suggested use: Use 1-2 sprays into each nostril every 4 to 6 hours. In Case of persistent dryness, you may increase frequency.
Ingredients: Sodium Chloride, Soldium Bicarbonate Glycerin, Soldium Hyaluronate 1%, Aloe Vera, Allantoin, Carboxymethylcellulose, Propylene Glycol, USP Grade Purified Water, Methylparaben and Propylparaben are added as preservatives.
nice composition But unfortunately certain Ingredi ë Nten are not available for the pharmacy. Therefore I propose NaCl 0.45%, NaHCO3 0.36%, glycerin 0.65%, Allantoin 1%, hydroxyethylcellulose 2.5 g, water for preservation ad 100g.
the concentration of hydroxyethylcellulose may need to be adjusted slightly depending on the viscosity level of the hydroxyethyl cellulose used (NATROSOL).