Svensk Kirurgi nr 5-20

273 SVENSK KIRURGI • VOLYM 78 • NR 5 • 2020 What is your Active Haemostasis strategy? Active adjunctive haemostats are more effective than passive haemostats 1*,2,3 Active Passive Function independently of the patient’s ability to generate clotting factors to achieve haemostasis Effective regardless of coagulation status Effective across a wide range of bleeding Patient Profile: Notes and Observations: Name : Age: Procedure: Matthew B. 70 years old Small Bowel Resection - Liver Disease – Child class B Cirrhosis - clopidogrel bisulfate References 1.Paul Slezak, Claudia Keibl, Dirk Labahn, Anna Schmidbauer, Yuri Genyk & Heinz Gulle (2020): A Comparative Efficacy Evaluation of Recombinant Topical Thrombin (RECOTHROM®) With A Gelatin Sponge Carrier Versus Topical Oxidized Regenerated Cellulose (TABOTAMP®/SURGICEL®) In A Porcine Liver Bleeding Model, Journal of Investigative Surgery, DOI:10.1080/08941939.2019.1705444 2.Bracey A, Shander A, Aronson S, Boucher BA, Calcaterra D, Chu MWA, Culbertson R, Jabr K, Kehlet H, Lattouf O, Malaisrie SC, Mazer CD, Oberhoffer MM, Ozawa S, Price T, Rosengart T, Spiess BD, Turchetti G. The Use of Topical Hemostatic Agents in Cardiothoracic Surgery. Ann Thorac Surg. 2017 Jul;104(1):353-360. doi: 10.1016/j.athoracsur.2017.01.096. Epub 2017 Apr 24. Review 3. Nasso G, Piancone F, Bonifazi R, Romano V, Visicchio G, De Filippo CM, Impiombato B, Fiore F, Bartolomucci F, Alessandrini F, Speziale G. Prospective, randomized clinical trial of the FloSeal matrix sealant in cardiac surgery. Ann Thorac Surg. 2009 Nov;88(5):1520-6. * As demonstrated in an animal study SE/MG231/20-0001 SEPT 2020 What would you do if your patient’s coagulation status is compromised? How would you reduce the risk of intraoperative bleeding? Think Active – Find out when, and why, you should choose an active haemostat over a passive haemostat at activehemostasis.se