2016
DOI: 10.1016/j.injury.2016.05.003
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Determination of efficacy of a novel alginate dressing in a lethal arterial injury model in swine

Abstract: Hm-alginate demonstrates a greatly superior efficacy, relative to unmodified alginate and Kerlix™ gauze dressings, in achieving hemostasis from a lethal femoral artery puncture in swine. This is a similar result as has been previously described when performing hydrophobic modification to chitosan. The current study further suggests that hydrophobic modification of a hydrophilic biopolymer backbone can significantly increase the hemostatic capabilities relative to the native biopolymer.

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Cited by 28 publications
(19 citation statements)
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“…On account of the high reactive amine groups within the chitosan backbone, CS is easily modified for improving the hemostatic efficacy (Yang et al, 2018). Dowling et al (2016) synthesized the dodecyl-modified chitosan (HM-CS) via reacting with the amino groups. Dodecyl-modified chitosan was made into the self-expanding foam with a sprayed behavior from a gas tank.…”
Section: Chitosanmentioning
confidence: 99%
See 1 more Smart Citation
“…On account of the high reactive amine groups within the chitosan backbone, CS is easily modified for improving the hemostatic efficacy (Yang et al, 2018). Dowling et al (2016) synthesized the dodecyl-modified chitosan (HM-CS) via reacting with the amino groups. Dodecyl-modified chitosan was made into the self-expanding foam with a sprayed behavior from a gas tank.…”
Section: Chitosanmentioning
confidence: 99%
“…In 2008, safety, efficacy, usability, cost, and Food and Drug Administration (FDA) approval are required as five main necessities for use all over the world ( Spotnitz and Burks, 2008 , 2010 ), and other specific requirements like biodegradability, biocompatibility, mechanics, swelling ratio, stability, qualified water tightness, adjustable adhesion, and enhanced ability of healing process through the delivery of growth factors or active drugs are also be focused for actual usage. Accordingly, ideal hemostatic agents should simultaneously have abilities with rapid hemostasis, good biocompatibility, well-matched degradation, no adverse effects on wound healing and conducive to accelerating the healing process ( Howe and Cherpelis, 2013 ; Qin et al, 2015 ; Dowling et al, 2016 ; Momeni and Filiaggi, 2016 ). Furthermore, the important issues of quality, manufacturing cost, stability, swelling rate, safety and adjustable mechanics should also be considered and addressed ( Hsu et al, 2015 ).…”
Section: Introductionmentioning
confidence: 99%
“…Alginate is a natural polymer extracted from brown seaweed and it has been extensively used in biomedical applications [61]. Although biocompatible, alginate shows low hemostatic performance [62]. Combining alginate with collagen, the most abundant protein in the human body and a major component of extracellular matrix, attempted to increase hemostatic function and promote cell proliferation.…”
Section: Wound Healingmentioning
confidence: 99%
“…Death from hemorrhage represents more than 60,000 deaths per year in the United States and 1.9 million deaths worldwide with 1.4 million of which result from physical trauma (Lozano et al, 2012). Hemorrhage is the leading cause of cardiac arrest from trauma in both civilian and military sectors (Dowling et al, 2016;Eastridge et al, 2012;Kelly et al, 2008;Lozano et al, 2012;. Hemorrhage can lead to hypovolemic shock and subsequent cardiac arrest.…”
Section: Need For Studymentioning
confidence: 99%