TY  - JOUR
T1  - FIbrin glue achieves hemostasis in patients with coagulation disorders
AU  - Kram HB, Nathan RC, Stafford FJ, Fleming AW, Shoemaker WC
Y1  - 1989/03/01
N1  - 10.1001/archsurg.1989.01410030135023
JO  - Archives of Surgery
SP  - 385
EP  - 387
VL  - 124
IS  - 3
N2  - • Fibrin glue (FG), made with highly concentrated human fibrinogen and clotting factors, was used to achieve parenchymal organ hemostasis in patients with disordered coagulation secondary to massive transfusion, chronic disease, and disseminated intravascular coagulation; it was effective in controlling liver hemorrhage in seven patients and in the performance of a splenorrhaphy in one other patient. The coagulation profile was grossly abnormal in all patients, and the mean ±SD intraoperative blood loss was 5.1 ±4.2 L; patients received 14± 10 U of blood perioperatively. The amount of FG required to achieve hemostasis varied directly with the extent of injury and intraoperative blood loss (r=.84), and all patients with a blood loss greater than 4 L required at least 25 mL of FG to stop bleeding. Two patients died postoperatively secondary to cardiac arrest and adult respiratory distress syndrome. Because FG does not depend on adequate platelet or clotting factor levels to be effective, it is especially useful in patients with parenchymal organ hemorrhage and disordered coagulation.(Arch Surg 1989;124:385-387)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410030135023
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410030135023
ER  -