title: Successful use of a military haemostatic agent in patients undergoing extracorporeal circulatory assistance and delayed sternal closure.
abstract: We report the successful control of bleeding in two patients who underwent post-cardiotomy extracorporeal circulatory support (ECMO) and then developed life-threatening bleeding due to severe coagulopathy. After the failure of conventional techniques, bleeding control was achieved using Celox Gauze (MedTrade Products Ltd, Cheshire, UK) packed on the sternal edges and pericardial cavity.
authors.affiliation: Unitá Operativa di Chirurgia del Cuore e Grossi Vasi, Azienda Ospedaliera Universitaria Senese, Policlinico Santa Maria alle Scotte, Siena, Italy. luigimuzzi@hotmail.com
authors.forename: Luigi
authors.initials: L
authors.lastname: Muzzi
authors.forename: Giulio
authors.initials: G
authors.lastname: Tommasino
authors.forename: Enrico
authors.initials: E
authors.lastname: Tucci
authors.forename: Eugenio
authors.initials: E
authors.lastname: Neri
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects; D001704:Biopolymers / Q000627:therapeutic use*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000628:therapy; D015199:Extracorporeal Membrane Oxygenation; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D056346:Sternotomy / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D001704:Biopolymers; C540163:Celox; D006490:Hemostatics