Nasal Pack Removal Advice Sheet

  • Reference Number: HEY-731/2016
  • Departments: Neurosurgery


This advice sheet has been produced to give you information about nasal pack removal.
Dressings may have been placed into each side of your nose to prevent bleeding, either after a severe nose bleed or surgery. These dressings are called ‘packs’ and may block your nose so that you have to breathe through your mouth. Often they are dissolvable but sometimes they need to be removed before you go home.

The nurse or doctor will explain the procedure to you before they start. You will be encouraged to have pain relief 20 minutes prior to the removal of the pack. You will be asked if you need to use the bathroom before the procedure as you will need to rest in bed for 30 – 60 minutes after removal of the pack.

You may be asked to suck ice for 5 minutes prior to removal of the pack as this reduces the risk of bleeding after the removal of the pack but this is not necessary.

You will be asked to sit up in bed; the nurse or doctor will apply a white apron over your head and ask you to hold a bowl under your chin to hold the removed packs.
Packs are removed one side at a time.

Once removed, the nurse or doctor may apply pressure with their fingers to the fleshy part of your nose for 3 – 5 minutes. They will check for bleeding after 3 – 5 minutes. If no active bleeding is seen, a bolster dressing will be applied, which can stay in place until you get home.

The nurse or doctor may provide you with some ice. If you feel any bleeding or a trickling down the back of the throat or at the front, suck ice and use the buzzer provided to call nursing staff and then inform them. If, after 30 minutes, there has been no bleeding, you can walk about after confirming this with the nursing or medical staff.

Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you. For further information visit the following page: Confidential Information about You.

If you or your carer needs information about your health and well-being and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.

This leaflet was produced by the Neurosurgery Department, Hull University Teaching Hospitals NHS Trust, and will be reviewed in December 2019.