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Indications:

Haemorrhage

Contraindications:

hypersensitivity .

Adverse reactions:

Foreign body reactions may occur after the use of oxidised cellulose or oxidised regenerated cellulose. Headache, burning, and stinging have been reported and sneezing has been noted after use in epistaxis. Oxidised cellulose swells on contact with a bleeding surface; this could result in tissue necrosis, nerve damage, obstruction, or vascular stenosis if packed closely, especially into bony cavities, or if wrapped tightly around blood vessels. To minimise such complications the removal of excess material should be considered after haemostasis is achieved, and oxidised cellulose should always be removed after use near the spinal cord or optic nerve. Oxidised cellulose should not be used in packing or implantation for fractures since it may interfere with bone regeneration or cause cyst formation. It should not be used as a surface dressing, except for immediate control of haemorrhage, as it inhibits epithelialisation.

Interactions:

none known

Warnings:

Oxidised cellulose should be used as the dry material since moistening will reduce its ability to absorb blood. Silver nitrate or other escharotic chemicals should not be applied before use as cauterisation might inhibit absorption of oxidised cellulose. Thrombin is inactivated by the low pH of oxidised cellulose; it is recommended that oxidised cellulose should not be impregnated with other haemostatics or antibacterials.

Form:

Dressing

Dosage and Administration

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