Oxidised regenerated cellulose: an effective emergency haemostatic in burns surgery.
A 26-year-old man with 40% full-thickness burns was treated by excision and split-skin grafting on the 7th post-burn day. He developed bleeding 1 hour post-operatively which persisted despite the use of pressure dressings, elevation of the limbs, the administration of fresh frozen plasma, platelet-rich plasma, calcium, whole blood and cryoprecipitate respectively over a period of 11 hours. The bleeding was finally controlled under general anaesthesia by clot removal, bipolar electro-coagulation of miniscule oozing points, replacement of the meshed skin graft and the application of a layer of oxidised regenerated cellulose over the grafted area. The properties and uses of oxidised regenerated cellulose are outlined.
D000328:Adult; D002056:Burns / Q000601:surgery*; D002482:Cellulose / Q000031:analogs & derivatives*; D002483:Cellulose, Oxidized / Q000627:therapeutic use*; D004630:Emergencies; D006470:Hemorrhage / Q000628:therapy; D006488:Hemostasis, Surgical; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy
D002483:Cellulose, Oxidized; D002482:Cellulose