Hemostatic sponge - a tool used for bleeding of different origin.
Release form and composition
The hemostatic sponge is released with ambenum in the form of a hygroscopic lyophilized porous white with a yellow-brown shade of a mass that has a specific smell in glass vials of 0.8 g
The composition includes plasma from human donated blood with the formation of a fibrin clot and excipients - calcium chloride hexahydrate and ambien.
Hemostatic collagen sponges are also produced in the form of porous yellow relief plates, 9x9 cm in size and 5 to 9 mm thick, in blisters of 1 pc. Each of them contains 0.98 g of collagen, 0.0125 g of boric acid and 0.0075 g of furatsilina.
Indications for use
Hemostatic sponge is used in cases of:
- Nasal bleeding;
- Trophic ulcers;
- Parenchymal and capillary bleeding;
- Damage to the skin.
It is also used for bleeding in patients with cirrhosis of the liver, thrombocytopenic purpura, leukemia, Osler-Randyu syndrome, hemorrhagic thrombocytopathy, and chronic nephritis.
The drug is not prescribed for hypersensitivity to the components included in its composition.
The use of hemostatic sponge is contraindicated in cases of purulent wounds, arterial bleeding and pyoderma.
Dosing and Administration
Hemostatic collagen sponge is removed from the packaging immediately before use, observing the basic rules of asepsis. Then it is put and gently pressed to the bleeding site for a few minutes. Allowed over the top of the bandage bandage. After the sponge is soaked with blood, it will tightly adhere to the bleeding surface.
In cases of damage to the gallbladder bed, as well as areas of parenchymal organs, the collagen sponge is placed directly into the damaged area.
If the application of funds does not stop the bleeding, another layer is placed on top of one of its layers. When the bleeding stops, the sponge is fixed with a U-shaped suture, after which the operation is carried out in accordance with accepted methods.
Due to the fact that the Sponge hemostatic collagen, getting into the area of damage, eventually resolves completely, in cases of bleeding from the vascular suture it closes the bleeding site and leave.
The size and amount of sponge used is determined based on the area of the bleeding surface.
A hemostatic sponge with ambenum is removed from the vial with a sterile instrument. Then, after a quick drainage, with the help of a gauze ball, pieces of the product are pressed against the bleeding surface for 3-5 minutes.
In cases of heavy bleeding, the drug should be pressed against the bleeding surface with a tool with a flat polished surface. It is not recommended to use a gauze ball, as its removal will entail the removal of a part of the product.
Spraying of a crushed sponge with a sprayer or syringe is allowed, as well as its use in combination with a tampon for a loose cavity tamponade. In such cases, the tampon should be removed after 1 day.
In some cases, the agent causes allergic reactions. The instructions for the Hemostatic Sponge also indicate that secondary infection is possible with its use.
The drug does not affect the ability to drive motor vehicles and complex mechanisms.
It is important when applying a hemostatic collagen sponge to take into account that its effect is enhanced with additional wetting in thrombin solution.
Synonyms means are not allowed. Hemostatic sponge analogues include Hemostatic Pencil, Kaprofer, Ivisel, Tissukol Kit, Tachocomb, Ferakril, Zhelplastan and Natalsid Polyhemostat.
Terms and conditions of storage
The instructions to the Hemostatic Sponge indicated that the agent should be stored in a dry place inaccessible to children, well ventilated and protected from light, at a temperature not exceeding 25 ° C.
Hemostatic collagen sponge is dispensed from pharmacies without a doctor's prescription, with ambenom - by prescription. The shelf life of a collagen sponge, subject to all recommendations of the manufacturer, is five years, with ambyone two years.