A review of the application of cellulose hemostatic agent on trauma injuries

Abstract

Introduction

Planning for management of bleeding in trauma injuries is very important. The initial purpose in emergency situations should be immediate establishment of an efficient hemostasis, principally in its topical application. In this study, we aimed to review the major relevant articles in the case of application of cellulose hemostatic agent on trauma injuries.

Methods

We searched the online databases such as PubMed, MEDLINE, Wiley, EMBASE, ISI Web of Knowledge, and Scopus. Two reviewers independently searched and assessed the titles and abstracts of all articles.

Results

Upon screening the titles and abstracts, 24 studies were identified for full-text review. The oxidized cellulose had the best clotting times, while it demonstrated low absorption ability. Surgical and thermosensitive chitosan hemostatic could be valuable for managing hemorrhage from liver injuries in trauma patients.

Conclusion

Recently, the application of cellulose hemostatic agents has been one of the main improvements obtained for controlling bleeding in trauma injuries. However, generally according to the literature review, the decision about using each agent should be made on a case-by-case basis. However, it can be mentioned that the perfect hemostatic agent has not been still identified.

Keywords:

• cellulose hemostatic agent
• trauma
• injury

Acknowledgment

The authors would like to thank Nasrin Shokrpour (English Department) for his editorial assistance in the Research Consulting Center (RCC) of Shiraz University of Medical Science for improving the usage of English in the manuscript.

Disclosure

The authors declare that they have no conflicts of interest in this work.