Comparison of hemostatic dressings for superficial wounds.
The recommendation of these 3 hemostatic products is based on an extensive evidence-based review of the literature on hemostatic dressings that show equal effectiveness.15, 16 However, based on the past battlefield duration of use since 2008 and reported good success, the CoTCCC recommends QuikClot Combat Gauze as the hemostatic dressing of choice and Celox Gauze and ChitoGauze Pro as.
The use of mineral (clay) or biologic (chitosan) materials has improved the efficacy of dressings used in the bleeding control of noncompressible areas. A series of novel manufactured products already evaluated in a vascular transection model was further compared in a severe vascular puncture injury model. Methods: Ten hemostatic dressings were tested in anesthetized Yorkshire swine.
In the comparison by Arnaud et al of 10 different haemostatic dressings using both a groin transection and groin puncture model, Celox granules were rated among the four highest performing dressings.12, 13 It has also been used successfully in the clinical setting. A series of cases describes the use of Celox granules in 21 military patients with gunshot wounds.
Hydrogel based wound dressings possess all the necessary properties that wound healing requires, such as maintaining a moist environment at the wound interface, providing a cooling sensation, allowing gaseous exchange, maintaining a barrier to microorganisms, and allowing wound exudate absorption, hemostatic potential, and biocompatibility (7,8).
Comparison of 4 Hemostatic Agents, CELOX-A, ChitoFlex, WoundStat, and Combat Gauze, Versus Standard Gauze Dressing in Control of Extremity Hemorrhage in a Limited Access Swine Model of Penetrating Combat Trauma. Lanny F. Littlejohn. x. Lanny F. Littlejohn. Search for articles by this author.
Dressing removal was considered painful when there was an adherence to the wound bed and switching to non-adherent dressing reduced pain during dressing changes in most cases. Thus authors conclusively argue that pain is a major problem and challenge to nursing management in wound care and is almost always related to dressing selection.
Comparison of Hemostasis Times With a Kaolin-Based Hemostatic Pad (QuikClot Radial) vs Mechanical Compression (TR Band) Following Transradial Access: A Pilot Prospective Study. Roberts JS, Niu, J, Pastor-Cervantes JA.