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Hemostatic Techniques (4):
Recent article
Hemostatic Techniques
Abstract
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Abstract
We performed this study to evaluate the hemostatic efficacy of the FAST Dressing in treating a grade V liver injury in noncoagulopathic swine.
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PMID: 21817977
PDF is available here.
PDF is available here.
Abstract
Advanced hemostatic dressings perform superior to standard gauze (SG) in animal hemorrhage models but require 2 minutes to 5 minutes application time, which is not feasible on the battlefield.
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PMID: 21817978
PDF is available here.
PDF is available here.
Abstract
The authors present results of examination and treatment of 698 patients with erosive-ulcerative lesions in the mucous membrane of the upper digestive tract that accounted for 39.49% of all subjects with gastrointestinal hemorrhage. These lesions were diagnosed in 73.8% of the patients in critical co...
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PMID: 21395093
PDF is available here.
PDF is available here.
Thrombosis and Haemostasis (104)5 2010
Abstract
Following favourable results from a previous study, a large, multicentre, prospective, case-control study was performed to further assess the incidence of bleeding complications after dental extraction in patients taking oral anticoagulant therapy (OAT). Four hundred fifty-one patients being treated...
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PMID: 20806110
PDF is available here.
PDF is available here.
Abstract
We report a case of facilitated large-bore closure using a low-profile valvuloplasty balloon for aortic occlusion. This technique enhanced percutaneous closure device deployment and improved hemostasis during arteriotomy closure....
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PMID: 20944193
PDF is available here.
PDF is available here.
Abstract
Maxillofacial trauma is common and may lead to haemorrhage that is associated with actual or impending airway compromise. This study briefly discusses the aetiology of midfacial haemorrhage and describes a simple effective technique of midface splintage for haemorrhage control, which may be applied...
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PMID: 20603900
PDF is available here.
PDF is available here.
Abstract
Abstract
BACKGROUND: The use of access-site closure devices in interventional cardiology has expanded rapidly in the past several years. Initial reports indicated remarkable safety with these devices but there are a small number of major complications. This single-center, retrospective study was carried out...
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PMID: 20679669
PDF is available here.
PDF is available here.
Laryngo-Rhino-Otologie (89)7 2010
Abstract
We found declines of up to 5 g/dl. Plotted against the time of hemorrhage or against the age of the patient we must state, that blood-loss does not correlate to the time after sugery nor to the age.
We saw severe blood-loss even two weeks after surgery, whereas the events of hemorrhage around the ti...
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PMID: 20440671
PDF is available here.
PDF is available here.
Abstract
Significant reduction in surgeries was seen in the Mynx vs Angioseal patients, no difference was noted in compression subset. Further analysis is warranted to prospectively evaluate these findings....
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PMID: 20484072
PDF is available here.
PDF is available here.
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia (16)1 2010
Abstract
In a randomized controlled trial of sealing with a sheet-type collagen vs. a combined approach of fixing a collagen sponge, using fibrin glue for closure of air leaks, the use of Integran, a sheet-type absorbable topical collagen hemostat, is feasible to prevent pulmonary fistula after lung surgery....
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PMID: 20190704
PDF is available here.
PDF is available here.
Abstract
In the present study population, ER, ICU and nurses did not adhere to NVUGIB guidelines because they were neither aware of nor familiar with them, whereas the GI lack of adherence to NVUGIB guidelines was influenced more by attitudinal and contextual barriers. These findings can guide the design of...
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PMID: 20485702
PDF is available here.
PDF is available here.
Hämostaseologie (30)2 2010
Abstract
In the last years several point of care testing (POCT) systems used for coagulation parameters have been developed and became daily routine. As for other POCT applications (e. g. blood gas analysis) there is a need for user education and continuous improvement of quality assurance. For some POCT coa...
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PMID: 20454752
PDF is available here.
PDF is available here.
Abstract
We aimed to investigate the effects of nasal packing and septal suturing technique on mucociliary clearance by rhinoscintigraphy. Forty-eight adult patients who had undergone septoplasty were included in the investigation. Preoperatively, the patients were allocated into three groups: group 1, finge...
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PMID: 19823859
PDF is available here.
PDF is available here.
Abstract
Vascular injury due to penetrating abdominal trauma is a major challenge for trauma teams. Arterial and venous injuries occur with equal frequency. Treatment depends on the hemodynamic status of the patient: under stable conditions, angiography can be envisioned, whereas instability is an indication...
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PMID: 20638931
PDF is available here.
PDF is available here.
Revue de l'infirmiere ()159 2010
Abstract
Abstract
UA and non-UA gastroenterologists have similar practices in acid suppression and endoscopic therapy for controversial APUB issues; however, non-UA gastroenterologists appear more cautious in restarting acetylsalicylic acid and warfarin. Further studies are needed to address the optimal empirical aci...
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PMID: 20431816
PDF is available here.
PDF is available here.
Abstract
The purpose of this study was to evaluate the angiographic and histopathologic changes in the superficial femoral artery (SFA) in heparinized sheep shortly after catheterization with an 8-Fr sheath and manual compression hemostasis either with standard manual compression (SMC) or with the use of a p...
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PMID: 19705199
PDF is available here.
PDF is available here.
Abstract
Twenty-seven (3.0%) of 907 cases had post-operative hemorrhage from ruptured pseudoaneurysms. Pancreatic fistula was evident in 12 (44%) cases. Sentinel bleeding appeared in 21 (77.8%) cases. Of the 27 cases, 11 (41%) cases demonstrated bleeding pseudoaneurysm of the ligated gastroduodenal artery, 8...
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PMID: 20222168
PDF is available here.
PDF is available here.
Abstract
We report the case of an 80-year-old man who developed cerebrospinal fluid rhinorrhea several hours after he had undergone placement of nasal packing in an emergency department. He was eventually transferred to our facility, where he required a prolonged hospital stay to correct the complication. We...
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PMID: 20229469
PDF is available here.
PDF is available here.
Abstract
Postpartum hemorrhage (PPH) remains a significant contributor to maternal morbidity and mortality throughout the world. The majority of research on this topic has focused on efforts to prevent PPH. Sound data exist that active management of the third stage of labor can reduce the occurrence of PPH....
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PMID: 20142654
PDF is available here.
PDF is available here.
Abstract
When medical therapy is unsuccessful, surgical approaches to postpartum hemorrhage are often considered. These may include uterine curettage, laceration repair, balloon tamponade, compressive suture techniques, uterine or hypogastric artery ligation, and ultimately hysterectomy. A systems approach t...
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PMID: 20142655
PDF is available here.
PDF is available here.
Abstract
Disorders of coagulation are relatively uncommon as a sole cause of postpartum hemorrhage. Coagulation disturbances should be suspected in patients with a family history of such abnormalities and patients with a history of menorrhagia. Clinical circumstances may also suggest coagulation defect as a...
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PMID: 20142661
PDF is available here.
PDF is available here.
Ginekologia polska (81)3 2010
Abstract
Postpartum hemorrhage (PPH) is one of the leading causes of maternal death and one of the major causes of mortality in women in developing countries. According to the Central Statistical Office, in 2006, in Poland 540 maternal peripartum deaths were noted, 34.7% of which due to PPH. Therefore, activ...
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PMID: 20486546
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
We experienced a traumatic victim with thoracic and abdominal injury with hemorrhagic shock, who was successfully treated with damage control. Thoracic drainage revealed more than 300 ml/hour of continuous hemorrhage in the left thoracic cavity with 60-80 mmHg of non-responding hypotention. Although...
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PMID: 20141077
PDF is available here.
PDF is available here.
Abstract
There were 11 (7.7%) immediate failures of device deployment: 4/40 (10.0%) antegrade and 7/103 (6.8%) retrograde. Within these 11 punctures, 1 major complication occurred that required surgical retrieval of the device following a retrograde puncture. No other major and 12 (9.1%) minor complications...
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PMID: 20199266
PDF is available here.
PDF is available here.
Acta Chirurgica Belgica (110)3 2010
Abstract
Abstract
We report the unusual case of a neonate who underwent surgical repair of complex congenital heart conditions and then required early re-exploration, prompted by initial suspicion of mediastinitis on the basis of computed tomographic findings. During reoperation, it was determined that the mass on co...
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PMID: 20200643
PDF is available here.
PDF is available here.
Abstract
Hemostasis, perioperative coagulation, and criteria for transfusion vary widely among the hospitals surveyed. Few guidelines are available and they are not often being followed. A high percentage of patients receive transfusions, although not all hospitals can cite a figure. New technology has not b...
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PMID: 20196517
PDF is available here.
PDF is available here.
Abstract
This work is a presentation of an hemostasis task descriptive file in regard with the requirements of the standard NF EN ISO 15189. The chosen method is based on the Deming wheel, that is to say: 1) Forward planning, done by the quality department of the work organization. 2) Drafting of a task des...
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PMID: 20870586
PDF is available here.
PDF is available here.
Annals of Internal Medicine (152)1 2010
Abstract
156 patients were included in an intention-to-treat analysis. Three patients withdrew from the trial before finishing follow-up. Recurrent ulcer bleeding within 30 days was 10.3% in the aspirin group and 5.4% in the placebo group (difference, 4.9 percentage points [95% CI, -3.6 to 13.4 percentage po...
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PMID: 19949136
PDF is available here.
PDF is available here.
Abstract
Abstract
Critical Care (14)2 2010
Abstract
This guideline provides an evidence-based multidisciplinary approach to the management of critically injured bleeding trauma patients....
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PMID: 20370902
PDF is available here.
PDF is available here.
Critical Care (14)2 2010
Abstract
We report the treatment of major trauma using mainly coagulation factor concentrates.
This retrospective analysis included trauma patients who received >or= 5 units of red blood cell concentrate within 24 hours. Coagulation management was guided by thromboelastometry (ROTEM). Fibrinogen concentrate...
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PMID: 20374650
PDF is available here.
PDF is available here.
Critical Care (14)1 2010
Abstract
Fresh frozen plasma (FFP) is indicated for the management of massive bleedings. Recent audits suggest physician knowledge of FFP is inadequate and half of the FFP transfused in critical care is inappropriate. Trauma is among the largest consumers of FFP. Current trauma resuscitation guidelines recom...
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PMID: 20156316
PDF is available here.
PDF is available here.
Abstract
Abstract
Of the 413 patients, 68 (16.5%) had a complication. Sixty-four (15.5%) developed hematomas ranging in size from 1 to 5 cm (n = 35, 8.5%) to greater than 5 cm (n = 29, 7.0%), 6 experienced bleeding (1.5%), 4 (1%) had arteriovenous fistulas, and 3 (0.7%) developed pseudoaneurysms. There were no signif...
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PMID: 20357666
PDF is available here.
PDF is available here.
Abstract
The authors describe the application of a hemostatic glue between the mucoperichondrial layers for the prevention of development of nasal septum hematoma and other possible complications of septoplasty. Analysis of the efficiency of the treatment of 30 patients by septoplasty with intraoperative appl...
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PMID: 21311462
PDF is available here.
PDF is available here.
Minerva chirurgica (64)6 2009
Abstract
Thyroidectomy in patients with coagulopathy is feasible with low risk of bleeding if meticulous hemostasis, particularly using ligasure vessel sealing system, is respected....
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PMID: 20029354
PDF is available here.
PDF is available here.
Abstract
We describe a case of pseudoaneurysm of the internal thoracic artery, which was probably caused by infection. Four weeks after aortic valve replacement and coronary artery bypass surgery, an 84-year-old woman suddenly developed painful sternal instability and hypotension, with active hemorrhage from...
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PMID: 19917798
PDF is available here.
PDF is available here.
Abstract
Lidocaine gel and glycerine lotion reduced the bleeding volume and the time to achieve hemostasis and conducted the thermal energy of the electrocautery, causing hydropic cell degeneration after 24 hours and deeper necrosis of hepatic tissue after 7 days. All substances increased the aminotransferas...
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PMID: 20069158
PDF is available here.
PDF is available here.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC (31)10 2009
Abstract
OBJECTIVE: To review the clinical aspects of postpartum hemorrhage (PPH) and provide guidelines to assist clinicians in the prevention and management of PPH. These guidelines are an update from the previous Society of Obstetricians and Gynaecologists of Canada (SOGC) clinical practice guideline on P...
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PMID: 19941729
PDF is available here.
PDF is available here.
Abstract
We present the unique case of an 83-year-old patient with acute stomal hemorrhage as the first sign of underlying liver disease and portal hypertension. Bleeding was controlled with conservative measures including balloon tamponade, betablockade, octreotide, and suture ligation. Our review of the li...
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PMID: 19796469
PDF is available here.
PDF is available here.
Abstract
In the past decades, there has been a significant development in the management of patients with acute coronary syndromes (ACS), largely driven by advances in antithrombotic and antiplatelet agents. Despite significant improvements in efficacy end points such as death, myocardial infarction and repe...
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PMID: 19531962
PDF is available here.
PDF is available here.
Abstract
For patients suffering from postvitrectomy diabetic vitreous hemorrhage, volume homeostatic vitreous cavity lavage can be an alternative method for removing the bloody content in the vitreous cavity efficiently and permitting rapid visual recovery....
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PMID: 19421765
PDF is available here.
PDF is available here.
Abstract
Our results show that secondary PPH is related to high rates of immediate and long-term complications. It is possible that a conservative medical approach for secondary PPH may be superior to surgical treatment....
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PMID: 19565365
PDF is available here.
PDF is available here.
Abstract
HCC with gastric invasion should be differentially diagnosed from upper GI bleeding in cirrhotic patients. Bleeding can be controlled and symptomatic relief marked in selected cases....
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PMID: 19666416
PDF is available here.
PDF is available here.
Ultrasonic Imaging (31)3 2009
Abstract
We present pilot clinical data demonstrating Acoustic Radiation Force Impulse (ARFI) ultrasound for monitoring the onset of subcutaneous hemostasis at femoral artery puncture sites (arteriotomies), in vivo. We conducted a randomized, reader-blinded investigation of 20 patient volunteers who underwen...
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PMID: 19771959
PDF is available here.
PDF is available here.
American Surgeon (75)7 2009
Abstract
Our goal was to identify the injured population who actually undergoes TIVS using the National Trauma Data Bank (2001 to 2005). TIVS were placed in 395 patients (mean Injury Severity Score = 26; initial hemodynamic instability = 24%; mean based deficit = -7.2; mortality = 14%). Blunt mechanisms caus...
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PMID: 19655605
PDF is available here.
PDF is available here.
Abstract
BACKGROUND: Hemostatic square suturing is a useful technique for postpartum hemorrhage, but some complications may occasionally occur. CASE: A 36-year-old pregnant woman with placenta previa and percreta at 35 weeks' gestation complicated with massive vaginal bleeding. An emergency cesarean section...
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PMID: 19691264
PDF is available here.
PDF is available here.
Journal of Trauma (67)1 2009
Abstract
Four hundred thirty-five patients underwent emergency operations postinjury and received FFP with >10 units of PRBC in the operating room; 135 (31.0%) of these patients had TIC and 53 died (39.5% mortality). Mean operative time was 137 minutes (SD +/- 49). There were no differences with regard to ag...
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PMID: 19590305
PDF is available here.
PDF is available here.
Laryngo-Rhino-Otologie (88)6 2009
Abstract
National and international tendencies to avoid nasal packing after FESS are closed related to the surgical surgery (atraumatic endoscopic surgery, avoidance of resection of turbinates, meticulose coagulation). At the end of each operation a benefit-risk-analysis should be performed, whether nasal pa...
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PMID: 19504407
PDF is available here.
PDF is available here.
Cirugía Española (85 Suppl 1) 2009
Abstract
Massive bleeding is a major cause of intraoperative death or death in the immediate postoperative period as a result of surgery. The present article describes the basic principles for the control of surgical bleeding as well as temporary and definitive maneuvers. Temporary control of bleeding can of...
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PMID: 19589408
PDF is available here.
PDF is available here.
Abstract
The use of a hemostatic gelatin matrix to decrease bleeding from cannulated pedicles during pedicle screw insertion can result in inadvertent extravasation into the spinal canal resulting in ESCC even in the absence of an apparent medial pedicle breach. Given the dangers associated with the techniqu...
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PMID: 19478651
PDF is available here.
PDF is available here.
Abstract
Peri-operative bleeding was significantly reduced in the local anaesthesia group compared with the other two groups. Delayed post-operative tonsillar bed healing was noted in the diathermy group. No other significant differences were found between the three haemostasis groups, for any other outcome...
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PMID: 18845032
PDF is available here.
PDF is available here.
Anaesthesia (64)5 2009
Abstract