Achieving hemostasis with topical hemostats: Making clinically and economically appropriate decisions in the surgical and trauma settings

Martin A. Schreiber, Deborah J. Neveleff

    Research output: Contribution to journalArticle

    30 Scopus citations

    Abstract

    Achieving hemostasis is a crucial focus of clinicians working in surgical and trauma settings. Topical hemostatic agents-including mechanical hemostats, active hemostats, flowable hemostats, and fibrin sealants-are frequently used in efforts to control bleeding, and new options such as hemostatic dressings, initially used in combat situations, are increasingly being used in civilian settings. To achieve successful hemostasis, a number of vital factors must be considered by surgeons and perioperative nurses, such as the size of the wound; bleeding severity; and the efficacy, possible adverse effects, and method of application of potential hemostatic agents. Understanding how and when to use each of the available hemostatic agents can greatly affect clinical outcomes and help to limit the overall cost of treatment.

    Original languageEnglish (US)
    Pages (from-to)S1-S20
    JournalAORN journal
    Volume94
    Issue number5
    DOIs
    StatePublished - Nov 1 2011

    Keywords

    • Active hemostats
    • Fibrin sealants
    • Flowable hemostats
    • Hemostasis
    • Hemostatic dressings
    • Mechanical hemostats
    • Surgical bleeding
    • Topical hemostatic agents

    ASJC Scopus subject areas

    • Medical–Surgical

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