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 |