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hemostatic chitosan

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https://www.readbyqxmd.com/read/29619144/efficacy-of-chitosan-based-dressing-for-control-of-bleeding-in-excisional-wounds
#1
Anne-Heloise Stricker-Krongrad, Zahra Alikhassy, Nicolette Matsangos, Raul Sebastian, Guy Marti, Frank Lay, John W Harmon
Introduction: Excessive bleeding is a complication of wound debridement in patients receiving anticoagulation treatment. Chitosan is a linear, positively charged polysaccharide that has potential as a hemostatic topical dressing. This study examined the hemostatic efficacy of the chitosan based Opticell dressing (Medline Industries, Chicago, Ill) in heparinized rats with excisional wounds mimicking debridement. Methods: Three paired 12-mm excisional wounds were created on the dorsum of 600-g Sprague-Dawley rats 2 hours after intraperitoneal injection of heparin 800 IU/kg...
2018: Eplasty
https://www.readbyqxmd.com/read/29514041/recombinant-batroxobin-coated-nonwoven-chitosan-as-hemostatic-dressing-for-initial-hemorrhage-control
#2
Gyeung Mi Seon, Mi Hee Lee, Byeong-Ju Kwon, Min Sung Kim, Min-Ah Koo, Young Seomun, Jong-Tak Kim, Tae Hee Kim, Jong-Chul Park
The choice of hemostat is determined by the situation and the degree of hemorrhage. One common hemostat, the nonwoven dressing, is easy to handled and controls severe bleeding on wider wounds. In this study, chitosan-based nonwoven dressings with recombinant batroxobin (rBat) were used as efficacious hemostatic dressing agents. Hemostatic agents need to absorb blood quickly in the early stages of blood coagulation cascade to rapidly and effectively control of excessive hemorrhages. To date, most studies of hemostatic agents focused on a single material and hemostats composed of multiple materials have not been studied sufficiently...
March 4, 2018: International Journal of Biological Macromolecules
https://www.readbyqxmd.com/read/29432043/prehospital-application-of-hemostatic-agents-in-iraq-and-afghanistan
#3
Steven G Schauer, Michael D April, Jason F Naylor, Joseph K Maddry, Allyson A Arana, Michael A Dubick, Andrew D Fisher, Cord W Cunningham, Anthony E Pusateri
INTRODUCTION: Hemorrhage is the leading cause of death on the battlefield. Development of chitosan- and kaolin-based hemostatic agents has improved hemorrhage control options. Sparse data exists on the use of these agents in the prehospital, combat setting. We describe recent use of these agents and compare patients receiving hemostatic to the baseline population. METHODS: We used a series of emergency department (ED) procedure codes to identify patients within the Department of Defense Trauma Registry (DODTR) from January 2007 to August 2016...
February 12, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29407154/porous-chitosan-microspheres-containing-zinc-ion-for-enhanced-thrombosis-and-hemostasis
#4
Meng Pan, Zonghao Tang, Jianbing Tu, Zhengchao Wang, Qinhui Chen, Rongdong Xiao, Haiqing Liu
Quick hemostats for non-lethal massive traumatic bleeding in battlefield and civilian accidents are important for reducing mortality and medical costs. Chitosan (CS) has been widely used as a clinic hemostat. To enhance its hemostatic efficiency, Zn2+ in the form of zinc alginate (ZnAlg) was introduced to CS to make porous CS@ZnAlg microspheres with ZnAlg component on the surface. Such microspheres were prepared by successive steps of micro-emulsion, polyelectrolyte adhesion, and thermally induced phase separation...
April 1, 2018: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/29394466/hemostatic-ability-of-chitosan-phosphate-inspired-by-coagulation-mechanisms-of-platelet-polyphosphates
#5
Younseon Wang, Keumyeon Kim, Moon Sue Lee, Haeshin Lee
Hemostatic materials have been studied to minimize bleeding time. Recently, polyphosphate (polyP) have received attention as potential hemostatic compounds, which are released from activated platelets. Long polyP chains are essential to form thick fibrin clots. Herein, chitosan is functionalized by covalently tethering phosphate groups to mimic polyP. It is hypothesized that utilizing a known hemostatic polysaccharide, chitosan, and tethering phosphate groups to mimic polyP's functionality show synergistic effect in hemostasis...
February 2, 2018: Macromolecular Bioscience
https://www.readbyqxmd.com/read/29352936/freeze-dried-chitosan-acetate-dressings-with-glycosaminoglycans-and-traxenamic-acid
#6
Francesca Saporito, Giuseppina Sandri, Silvia Rossi, Maria Cristina Bonferoni, Federica Riva, Lorenzo Malavasi, Carla Caramella, Franca Ferrari
Bleeding control plays an important role to increase survival in the early phase after a traumatic event. The aim of present work was the development of hemostatic sponge-like dressings based on chitosan, in association with glycosaminoglycans (GAG) (chondroitin sulfate or hyaluronic acid) and the improvement of their hemostatic performance by loading tranexamic acid (TA). The dressings were prepared by lyophilizazion and were characterized for mechanical, hydration, bioadhesion properties and morphology. Moreover, FTIR analysis was performed to understand the interactions between the different polyelectrolytes present in the dressings...
March 15, 2018: Carbohydrate Polymers
https://www.readbyqxmd.com/read/29210513/the-efficacy-of-a-novel-budesonide-chitosan-gel-on-wound-healing-following-endoscopic-sinus-surgery
#7
Thanh Ha, Rowan Valentine, Stephen Moratti, Lyall Hanton, Simon Robinson, Peter-John Wormald
BACKGROUND: Adhesion formation and ostial stenosis are common causes of surgical failure after endoscopic sinus surgery (ESS). Postoperative topical steroid application has been shown to improve wound healing. Chitosan-dextran gel (CD gel) is an effective hemostatic nasal dressing. This study aims to determine the effect of the addition of budesonide to CD gel on postoperative ostial stenosis and adhesion formation following ESS. METHODS: This prospective, blinded, randomized controlled trial was conducted between October 2012 and April 2015...
March 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29169118/characterization-of-a-microbial-polysaccharide-based-bioflocculant-and-its-anti-inflammatory-and-pro-coagulant-activity
#8
Chunying Zhong, Gang Cao, Kuan Rong, Zhengwu Xia, Ting Peng, Honggao Chen, Jiangang Zhou
We describe a novel bioflocculant, MBF-15, which is an exopolysaccharide extracted from the alkaliphilic bacterium Paenibacillus jamilae. The biophysical characteristics of MBF-15 were determined using Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy. MBF-15 was also evaluated for its biocompatibility by examining its inflammatory, coagulant, and hemostatic properties in vitro and in vivo. Pretreatment of peripheral blood mononuclear cells with MBF-15 inhibited lipopolysaccharide-stimulated expression of inducible nitric oxide synthase, production of nitric oxide, and secretion of pro-inflammatory cytokines, including tumor necrosis factor-α and interleukin-6...
January 1, 2018: Colloids and Surfaces. B, Biointerfaces
https://www.readbyqxmd.com/read/29167067/autoclavable-physically-crosslinked-chitosan-cryogel-as-a-wound-dressing
#9
Takayuki Takei, So Danjo, Shogo Sakoguchi, Sadao Tanaka, Takuma Yoshinaga, Hiroto Nishimata, Masahiro Yoshida
Moist wounds were known to heal more rapidly than dry wounds. Hydrogel wound dressings were suitable for the moist wound healing because of their hyperhydrous structure. Chitosan was a strong candidate as a base material for hydrogel wound dressings because the polymer had excellent biological properties that promoted wound healing. We previously developed physically-crosslinked chitosan cryogels, which were prepared solely by freeze-thawing of a chitosan-gluconic acid conjugate (CG) aqueous solution, for wound treatment...
November 19, 2017: Journal of Bioscience and Bioengineering
https://www.readbyqxmd.com/read/29127318/minimally-invasive-hemostatic-materials-tackling-a-dilemma-of-fluidity-and-adhesion-by-photopolymerization-in-situ
#10
Yun Zhang, Dandan Song, Hong Huang, Zhiling Liang, Houhe Liu, Yugang Huang, Cheng Zhong, Guodong Ye
Hemostasis in vivo is a key to success in minimally invasive surgery (MIS). However, solid hemostatic materials cannot pass through the sheath tube of the MIS apparatus, while liquid ones are restricted by their low adhesion, which leads to them peeling off of tissue. To tackle the dilemma of fluidity and adhesion, a formulation containing a multifunctional sucrose allyl ether (SAE) monomer and an alpha-hydroxyketone liquid photoinitiator (HMPP) was applied as a lead hemostatic material for MIS. Real-time infrared results showed that SAE initiated by HMPP can rapidly polymerize into a transparent crosslinking membrane...
November 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29116465/hemostatic-gauze-based-on-chitosan-and-hydroquinone-preparation-characterization-and-blood-coagulation-evaluation
#11
Roberta Cassano, Maria Luisa Di Gioia, Silvia Mellace, Nevio Picci, Sonia Trombino
This work concerns on the preparation and performance evaluation of a new chitosan hydroquinone based gauze for hemostatic use. Chitosan and hydroquinone were firstly connected by etherification and then linked to the pre-carboxylate gauze. The functionalized material and the chitosan-hydroquinone ether were characterized by Fourier Transform Infrared (FT-IR) Spectroscopy and Differential Scanning Calorimetry (DSC). FT-IR results showed that an esterification occurred on carboxylic group of the gauze. The gauze functionalization degree was also evaluated by volumetric analysis...
November 7, 2017: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/29025669/preparation-and-evaluation-of-squid-ink-polysaccharide-chitosan-as-a-wound-healing-sponge
#12
Na Huang, Jiali Lin, Sidong Li, Yifeng Deng, Songzhi Kong, Pengzhi Hong, Ping Yang, Mingneng Liao, Zhang Hu
A new type of wound healing agent was developed using two marine biomaterials (squid ink polysaccharide and chitosan) as carriers and calcium chloride as an initiator for coagulation. Based on central composite design-response surface methodology, comprehensive evaluation of appearance quality for composite sponges and water absorbency were used as evaluation indices to identify the optimized preparation conditions and further evaluate the performance of the squid ink polysaccharide-chitosan sponge (SIP-CS)...
January 1, 2018: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/28990448/evaluation-of-hemostatic-effect-of-polyelectrolyte-complex-based-dressings
#13
Manisha Buriuli, Wasupalli Geeta Kumari, Devendra Verma
The aim of this work was to develop a polyelectrolyte complex-based hemostatic dressing made from chitosan and polygalacturonic acid. Porous dressings were fabricated by ultrasonication of chitosan and alginate solutions followed by freeze-drying. Since chitosan has inherent hemostatic properties, and polygalacturonic acid is anti-inflammatory in nature, it was desired to combine these two polymers to develop an effective hemostatic dressing, which may also promote wound healing. Porous structure of the bandages was observed using field-emission scanning electron microscope...
January 1, 2017: Journal of Biomaterials Applications
https://www.readbyqxmd.com/read/28962752/chitosan-kaolin-composite-porous-microspheres-with-high-hemostatic-efficacy
#14
Xun Sun, Zonghao Tang, Meng Pan, Zhengchao Wang, Hongqin Yang, Haiqing Liu
The hemostatic performance of chitosan was greatly improved by blending it with kaolin to fabricate porous composite microspheres (CSMS-K) through inverse emulsion method combining with thermally induced phase separation. The CSMS-K had high amount of interior and surface pores. The synergetic hemostatic competence of chitosan and kaolin components made the hemostatic efficacy of CSMS-K superior to chitosan porous microspheres (CSMS). The hemostatic time of CSMS-K3 in the rat tail amputation and liver laceration models was down to respective 120 and 99s from 183 and 134s of CSMS, and the blood loss of CSMS-K3 was respectively 65% and 36% of that of CSMS in the rat tail amputation and liver laceration models...
December 1, 2017: Carbohydrate Polymers
https://www.readbyqxmd.com/read/28887187/different-chemical-groups-modification-on-the-surface-of-chitosan-nonwoven-dressing-and-the-hemostatic-properties
#15
Dong Yan, Shihao Hu, Zhongzheng Zhou, Shah Zeenat, Feng Cheng, Yang Li, Chao Feng, Xiaojie Cheng, Xiguang Chen
The hemostatic properties of surface modified chitosan nonwoven had been investigated. The succinyl groups, carboxymethyl groups and quaternary ammonium groups were introduced into the surface of chitosan nonwoven (obtained NSCS, CMCS and TMCS nonwoven, respectively). For blood clotting, absorbance value (0.105±0.03) of NSCS1 nonwoven was the smallest (CS 0.307±0.002, NSCS2 0.148±0.002, CMCS1 0.195±0.02, CMCS2 0.233±0.001, TMCS1 0.191±0.002, TMCS2 0.345±0.002), which indicated the stronger hemostatic potential...
February 2018: International Journal of Biological Macromolecules
https://www.readbyqxmd.com/read/28864269/uses-of-chitosan-for-treating-different-forms-of-serious-obstetrics-hemorrhages
#16
G Carles, C Dabiri, A Mchirgui, E O Saoudi, N Hcini, K Pouget, B Seve, B de Matteis
Postpartum hemorrhage is a major cause of maternal death worldwide. Many therapeutic strategies have been developed to reduce maternal morbidity and mortality like oxytocin, prostaglandin, and uterine balloons. A new member of the therapeutic arsenal has recently emerged, the chitosan (Celox® ), used since several years by military doctors to stop bleeding of combat wounds. In 2012, a first study was reported with the successful use of chitosan-coated gauze to treat severe postpartum hemorrhage. We report here four cases of the use of chitosan to treat life-threatening obstetric bleeding...
November 2017: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/28842967/zeolite-loaded-alginate-chitosan-hydrogel-beads-as-a-topical-hemostat
#17
Parinaz Fathi, Michael Sikorski, Katerina Christodoulides, Kristen Langan, Yoon Sun Choi, Michael Titcomb, Anjali Ghodasara, Omasiri Wonodi, Hemi Thaker, Mert Vural, Adam Behrens, Peter Kofinas
Hemorrhage is the leading cause of preventable death after a traumatic injury, and the largest contributor to loss of productive years of life. Hemostatic agents accelerate hemostasis and help control hemorrhage by concentrating coagulation factors, acting as procoagulants and/or interacting with erythrocytes and platelets. Hydrogel composites offer a platform for targeting both mechanical and biological hemostatic mechanisms. The goal of this work was to develop hydrogel particles composed of chitosan, alginate, and zeolite, and to assess their potential to promote blood coagulation via multiple mechanisms: erythrocyte adhesion, factor concentration, and the ability to serve as a mechanical barrier to blood loss...
August 26, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/28836753/potency-and-cytotoxicity-of-a-novel-gallium-containing-mesoporous-bioactive-glass-chitosan-composite-scaffold-as-hemostatic-agents
#18
Sara Pourshahrestani, Ehsan Zeimaran, Nahrizul Adib Kadri, Nicola Gargiulo, Hassan Mahmood Jindal, Sangeetha Vasudevaraj Naveen, Shamala Devi Sekaran, Tunku Kamarul, Mark R Towler
Chitosan-based hemostats are promising candidates for immediate hemorrhage control. However, they have some disadvantages and require further improvement to achieve the desired hemostatic efficiency. Here, a series of 1% Ga2O3-containing mesoporous bioactive glass-chitosan composite scaffolds (Ga-MBG/CHT) were constructed by the lyophilization process and the effect of various concentrations of Ga-MBG (10, 30, and 50 wt %) on the hemostatic function of the CHT scaffold was assessed as compared to that of Celox Rapid gauze (CXR), a current commercially available chitosan-coated hemostatic gauze...
September 20, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28821089/preparation-and-evaluation-of-chitosan-alginate-porous-microspheres-bletilla-striata-polysaccharide-composite-hemostatic-sponges
#19
Chao Wang, Wenfeng Luo, Puwang Li, Sidong Li, Ziming Yang, Zhang Hu, Yangyang Liu, Ningjian Ao
We prepared a novel hemostatic material using chitosan (CS), alginate, and Bletilla striata, which showed good biocompatibility and hemostatic properties. Alginate-calcium porous microspheres (Alg) were prepared by emulsification/cross-linking methods, and Bletilla striata polysaccharide (Bsp) was extracted from the tubers by water extraction and alcohol precipitation. To improve the water absorption and accelerate the blood coagulation, Alg and Bsp were mixed with chitosan solution to form CS/Alg and CS/Alg/Bsp composite sponges by lyophilization...
October 15, 2017: Carbohydrate Polymers
https://www.readbyqxmd.com/read/28773912/highly-absorbent-antibacterial-hemostatic-dressing-for-healing-severe-hemorrhagic-wounds
#20
Ting-Ting Li, Ching-Wen Lou, An-Pang Chen, Mong-Chuan Lee, Tsing-Fen Ho, Yueh-Sheng Chen, Jia-Horng Lin
To accelerate healing of severe hemorrhagic wounds, a novel highly absorbent hemostatic dressing composed of a Tencel(®)/absorbent-cotton/polylactic acid nonwoven base and chitosan/nanosilver antibacterial agent was fabricated by using a nonwoven processing technique and a freeze-drying technique. This study is the first to investigate the wicking and water-absorbing properties of a nonwoven base by measuring the vertical wicking height and water absorption ratio. Moreover, blood agglutination and hemostatic second tests were conducted to evaluate the hemostatic performance of the resultant wound dressing...
September 21, 2016: Materials
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