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	Luigi Muzzi, Giulio Tommasino, Enrico Tucci, Eugenio Neri
Journal	Interactive cardiovascular and thoracic surgery (Interact Cardiovasc Thorac Surg) Vol. 14 Issue 6 Pg. 695-8 (Jun 2012) ISSN: 1569-9285 [Electronic] England
PMID	22368107 (Publication Type: Case Reports, Journal Article, Video-Audio Media)
Chemical References	Anticoagulants Biopolymers Celox Hemostatics
Topics	Anticoagulants (adverse effects) Biopolymers (therapeutic use) Blood Vessel Prosthesis Implantation (adverse effects) Disseminated Intravascular Coagulation (etiology, therapy) Extracorporeal Membrane Oxygenation Heart Valve Prosthesis Implantation (adverse effects) Hemostatic Techniques Hemostatics (therapeutic use) Humans Male Middle Aged Negative-Pressure Wound Therapy Postoperative Hemorrhage (etiology, prevention & control) Sternotomy (adverse effects) Treatment Outcome

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