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Nasal irrigation (also called nasal lavage, nasal toilet, or nasal douche) is a personal hygiene practice in which the nasal cavity is washed to flush out mucus and debris from the nose and sinuses, in order to enhance nasal breathing. Nasal irrigation can also refer to the use of saline nasal spray or nebulizers to moisten the mucous membranes.
Saline sprays are typically non medicated. A mist of saline solution containing sodium chloride is delivered to help moisturize dry or irritated nostrils. This is a form of nasal irrigation. They can also relieve nasal congestion and remove airborne irritants such as pollen and dust thereby providing sinus allergy relief.
Saline solution normally contains 0.9% sodium chloride. This article walks you through application instructions based on the intended use.
Saline solution for irrigation. Normal saline (NSS, NS or N/S) is the commonly used phrase for a solution of 0.90% w/v of NaCl, 308 mOsm/L or 9.0 g per liter. Less commonly, this solution is referred to as physiological saline or isotonic saline (because it is approximately isotonic to blood serum, which makes it a physiologically normal solution).
A wash bottle is a squeeze bottle with a nozzle, used to rinse various pieces of laboratory glassware, such as test tubes and round bottom flasks. Wash bottles are sealed with a screw-top lid. When hand pressure is applied to the bottle, the liquid inside becomes pressurized and is forced out of the nozzle into a narrow stream of liquid.
Flushing with saline should be painless if the cannula is in its proper place, although if the saline is not warmed there may be a cold sensation running up the vein. A painful flush may indicate tissuing or phlebitis and is an indication that the cannula should be relocated. [1] Solutions other than normal saline may be used.
Once the saline is fully applied, then either suction is applied to collect the fluids, or the fluids are collected with a sterile syringe through the irrigation channel. The collection trap is then appropriately labeled and sent off for testing. [3] Recent literature for the use of endoscopic BAL in therapy uses essentially the same process.
A 1:20 solution is isotonic with body fluids. 1:4 dilution is used for wound management applications; this contains 0.25% (w/v) available chlorine and has a pH of 10.5–11.2. [1] [2] The fluid has been used in endodontics, for example to irrigate an infected root canal, although it is not medically licensed for use in the mouth. [3]