Hemostatic Agents
Topical Hemostats · Hemostatics · Absorbable Hemostats · Gelatin Sponge · Gelfoam · Surgifoam · Surgicel · Avitene · Thrombin · FloSeal · Surgiflo
A group of products laid on oozing tissue to help it clot. They come as dry sponges, gauze-like fabric, powder, film and flowable gel. The photo shows absorbable gelatin sponge, one of the most common.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Used along with sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry ties and electrocautery to stop bleeding that cannot easily be tied or cauterized, such as oozing from raw surfaces. The main groups are active hemostatHEE-moe-statA clamp with finger rings and a locking ratchet used in surgery to grasp and close off bleeding vessels.hem/o blood-stat stopping, standing stillFull entry (topical thrombinTHROM-binAn enzyme in the blood that turns fibrinogen into fibrin, the threads that hold a blood clot together.thromb/o clot-in substanceFull entry , which joins the body's own clottingKLOT-ingThe process by which blood thickens into a gel to plug a damaged vessel and stop bleeding; also called coagulation.Full entry ), mechanical hemostats (gelatin sponge such as Gelfoam and Surgifoam, oxidized cellulose such as Surgicel, collagenKOL-uh-jenThe main structural protein of the body, which gives strength to skin, bones, tendons, ligaments and scar tissue.coll/a glue-gen producingFull entry such as Avitene), bone hemostats (bone wax) and flowable hemostats and sealants (FloSeal, Surgiflo, fibrin sealants).
Lengths and variants
Gelatin: sponge squares and film. Oxidized cellulose: gauze-like mesh, fluff and powder. collagenKOL-uh-jenThe main structural protein of the body, which gives strength to skin, bones, tendons, ligaments and scar tissue.coll/a glue-gen producingFull entry : powder, sheets and sponges, plus preloaded applicators for endoscopicen-doh-SKOP-ikDone with an endoscope, a thin tube with a light and camera passed into the body.endo- within-scopic viewingFull entry use. thrombinTHROM-binAn enzyme in the blood that turns fibrinogen into fibrin, the threads that hold a blood clot together.thromb/o clot-in substanceFull entry : powder in 5000 or 20,000 unit vials, or frozen solution. Flowables: gel in a syringe.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
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- During the case
Caution
What not to do with it, and why.Pro
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3 sources
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 12 (Perioperative Pharmacology), p. 235-237
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 19 (Surgical Skills II: Intraoperative and Immediate Postoperative Period), p. 394
- indiamart.com
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