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Use of an absorbable haemostatic gauze product to control bleeding in 20 horses
Equine Veterinary Education ( IF 0.8 ) Pub Date : 2020-04-08 , DOI: 10.1111/eve.13267
D. Ramey 1 , M. Mudge 2 , O. Rudolphi 3 , S. Waxman 4
Affiliation  

The objective of this study was to report our experience with an absorbable haemostatic gauze product in 20 horses with traumatic or surgical haemorrhage. The product is made from oxidised, regenerated cellulose (ORC) and is approved for external use and currently being studied to control internal bleeding in surgical settings in human subjects. Treated horses were from both practice and university settings. Signalment, anatomic location, underlying cause of bleeding and outcome were recorded in the medical record. The size of gauze, approximate time until bleeding stopped, and pre‐ and post‐ORC adjunctive treatments were also recorded. The ORC was used in a variety of anatomic locations, including castration site, foot, flank incisions, distal limb, tooth extraction sites and the perineal region. The bleeding stopped or slowed dramatically within 90 s in 15 of 20 cases. There were no recorded complications in any of the cases. While this clinical report does not attempt to prove efficacy of the product in horses, it does show that this ORC product, which has been approved for use as a haemostatic agent in human subjects, is safe and of practical value, and may be a useful and viable option for the control of haemorrhage in a variety of equine clinical settings.

中文翻译:

使用可吸收的止血纱布产品来控制20匹马的出血

这项研究的目的是报告我们在20具外伤性或手术性出血马中使用可吸收止血纱布产品的经验。该产品由氧化再生纤维素(ORC)制成,已获准用于外部用途,目前正在研究以控制人类受试者手术环境中的内部出血。经过治疗的马匹来自实践和大学环境。病历中记录了信号,解剖部位,出血的根本原因和结果。还记录了纱布的大小,止血的大概时间以及ORC前后的辅助治疗。ORC用于各种解剖部位,包括去势部位,足,侧面切口,远端肢体,拔牙部位和会阴区域。20例中有15例在90 s内出血停止或明显减慢。在任何情况下都没有记录到并发症。尽管该临床报告并未试图证明该产品在马中的功效,但确实表明该ORC产品已被批准在人类受试者中用作止血剂,是安全且实用的,并且可能是有用的在各种马的临床环境中控制出血的可行选择。
更新日期:2020-04-08
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