Comparison table of hemostatic agents in use:
| HEMOSTATIC AGENTS | ||||||||||
Device |
Class |
Time to Hemostasis |
Used Battlefield |
Used Clinical |
Direct
|
Inflammation |
Ischemia |
Adhesions |
Tissue
|
Other |
| Cauterization | Primary | v: 1-2 sec | No | Yes | No | Yes | Yes | Yes | Yes | |
| a: 1-2 sec | ||||||||||
| Suture/
Staple |
Primary | v: 1-5 sec | No | Yes | No | Yes | No | Yes | No | |
| a: 1-5 sec | ||||||||||
| Direct
Pressure |
Primary | v: 1-3 min | Yes | Yes | Yes | No | No | No | No | |
| a: 5-10 min | ||||||||||
| QuikClot
Zeolite |
Adjunct | v: 1-3 min | Yes* | No | Yes | Yes | Yes | Yes | Yes | |
| a: 3-5 min | ||||||||||
| Trauma Dex
Polysaccharide |
Adjunct | v: 1-3 min | Yes* | No | Yes | No | No | No | No | |
| ca: 5-10 min | ||||||||||
| HemCon
Chitosan |
Adjunct | v: 1-3 min | Yes* | No | Yes | Yes | No | Yes | No | Iodine |
| ca: 5-10 min | ||||||||||
| Celox
Chitosan |
Adjunct | v: 1-3 min | Yes* | No | Yes | Yes | No | Yes | No | Iodine |
| ca: 5-10 min | ||||||||||
| Evithrom
Fibrin Glue |
Adjunct | v: 1-3 min | No | Yes | No | Yes | No | Yes | No | |
| sa: 5-10 min | ||||||||||
| Tisseel
Fibrin Glue |
Adjunct | v: 1-3 min | No | Yes | No | Yes | No | Yes | No | |
| sa: 5-10 min | ||||||||||
| FloSeal
Fibrin Glue |
Adjunct | v: 1-3 min | No | Yes | No | Yes | No | Yes | No | |
| sa: 5-10 min | ||||||||||
| CoSeal
Fibrin Glue |
Adjunct | v: 1-3 min | No | Yes | No | Yes | No | Yes | No | |
| sa: 5-10 min | ||||||||||
| Surgicel
Collagen |
Adjunct | v: 1-5 min | No | Yes | No | Yes | No | Yes | No | |
| ca: > 10 min | ||||||||||
| NovoSeven
Factor VIIa |
Adjunct | v: 1-3 min | No | Yes | Yes | No | No | Yes | No | DIC |
| a: 3-5 min | ||||||||||
| SeraSeal® | Primary | v: 1-2 sec | Yes | Yes | No | No | No | No | No | |
| a: < 10 sec | ||||||||||
| * = applied only to extremities v = venous a = arteries ca = capillary arteries sa = small artery |
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