Hemostatic sponge sizes. Hemostatic sponge - instructions, indications, contraindications

Why is a collagen hemostatic sponge needed? Indications for its use will be indicated below. You will also be presented with detailed instructions for using this product yourself, listing its properties and contraindications for use.

bone marrow canal;
alveolar socket (for example, after tooth extraction);
gall bladder bed, including after cholecystectomy;
parenchymal organs (for example, after liver resection).

Prohibitions for use

In what cases should a collagen hemostatic sponge not be used by patients? The instructions state that this drug is contraindicated for use in hypersensitivity to its components. Also, the drug in question cannot be used in cases of intolerance to drugs of the nitrofuran series (including Nitrofural, Furazidin, Nitrofurantoin, Furazolidone, Nifuratel, Nifuroxazide), arterial bleeding, purulent wounds and pyoderma.

How is a collagen sponge used?

Before using the drug in question, the sponge is carefully removed from the packaging (right before use), observing all aseptic rules. Next, it is applied to the site of bleeding, after which it is pressed and kept in this state for 1-2 minutes.

If desired, the bleeding surface can be very tightly tamponed with a collagen product, followed by its fixation (bandaging). Although experts say that after the sponge is well saturated with blood, it will adhere to the wound itself and bandages may not be needed.

To cover damaged areas parenchymal organs or the gall bladder bed after cholecystectomy, the product in question is placed directly into the damaged cavity. If after such a procedure the bleeding does not stop, you can apply a second layer of sponge.

Once the bleeding has stopped, the collagen agent is fixed using a U-shaped suture. The subsequent operation is carried out according to generally accepted methods.

If it is necessary to stop bleeding from a vessel, then the bleeding area is also covered with a sponge. After completing the task, the product is not removed. Subsequently, it will resolve on its own.

It should be especially noted that the amount of sponge used and its size are selected in accordance with the volume of the cavity and the size of the bleeding surface.

Possible adverse reactions

The hemostatic collagen sponge almost never causes side effects. Sometimes during its use the patient develops allergic reactions. In this case, you should immediately consult a doctor.

Special information

What do you need to know before using a hemostatic collagen sponge? When using this product, it should be taken into account that its effect is significantly enhanced if it was additionally soaked in a thrombin solution.

Similar drugs, synonyms

Synonyms for this drug No. As for sponge analogues, these include such products as “Natalsid”, “Tachocomb”, “Caprofer”, a hemostatic sponge with Ambien, “Zhelplastan”, a hemostatic pencil, “Feracril”, “Polyhemostat”, “Tissucol Kit”, "Ivisel."

Method of storing the drug, timing

How long does a hemostatic collagen sponge retain its properties? Reviews from experts report that if all the manufacturer’s instructions are followed, its shelf life is exactly five years. It should also be noted that the instructions say that the product in question must be kept only in a well-ventilated, out of the reach of children, dry and protected from contact sunlight a place where the air temperature varies between 10-30 degrees.

This drug is sold in pharmacy chains without a doctor's prescription.

Consisting of a mass of porous structure, the consistency of which is elastic and soft collagen, the hemostatic sponge has a yellow color and a faint vinegary odor. It is characterized by excellent absorption of liquids, accompanied by slight swelling. Cold water and organic solvents do not dissolve the sponge; it can also maintain itself unchanged at temperatures up to 75 degrees. Higher temperature indicators and increased humidity cause changes in the sponge and can partially dissolve it.

Hemostatic sponge instructions

The instructions for use of the Hemostatic Sponge provide the patient with recommendations for its correct use.

Form, composition, packaging

The drug is produced in the form of plates, the size of which is 10X10 cm or 5X5 cm. They are prepared from a collagen solution, which is obtained from the tendon or skin of cattle.

The constituent components of the drug are the amounts of boric acid and furatsilin necessary for the composition of the sponge.

The hemostatic sponge preparation is packaged sterilely. They are packed in ten pieces in a thick cardboard box.

Storage period and conditions

The drug can be stored for five years provided it is kept in places protected from light with air temperatures ranging from 10 to 30 degrees.

Pharmacology

From the pharmacological side, the drug has an adsorbent, antiseptic and hemostatic effect. It also has a stimulating effect on the process of tissue regeneration.

Indications for use of hemostatic sponge

for capillary bleeding (from the nose, after dental intervention, from the sinuses of the dura mater of the brain);
in case of skin damage, otitis media or bedsores;
in order to fill a defect in a parenchymal organ, for example, after partial excision of the liver or removal of the gall bladder.

Contraindications

Collagen hemostatic sponge application

The hemostatic sponge is used exclusively locally by applying a tampon from it to the bleeding wound. If it was not possible to stop the bleeding, another layer of material should be applied. When the bleeding has stopped, the sponge should not be removed, but rather it should be secured. Then it will completely dissolve.

Hemostatic sponge for nosebleeds

For nosebleeds Hemostatic sponge helps stop bleeding, and also acts as a sorbent and antiseptic, stimulating tissue restoration.

Apply the sponge tightly to the bleeding site and check after a few minutes to see if the blood has passed. If necessary, apply another plate. After the blood has completely stopped, secure the sponge (U-shaped fixation).

Hemostatic sponge after tooth extraction

After tooth extraction, the Hemostatic sponge is capable of helping the patient if he needs to stop bleeding. In addition, the sponge will promote an adsorbent and anti-inflammatory effect. While waiting for a preventative result, you can place the sponge in the hole just extracted tooth.

Side effects

The use of a hemostatic sponge may lead to re-infection or the development of allergies.

Drug interactions

The effect of the drug will be enhanced if thrombin is used to wet it.

Hemostatic sponge with Ambien analogues

Analogues of the drug in the form of a collagen hemostatic sponge are some drugs with similar effects:

Ambien,
Pamba,
Goombix.

Hemostatic sponge price

The cost of the drug varies depending on the size of the plates and units in the package. It ranges from 85 to 740 rubles.

Hemostatic sponge reviews

Reviews about the hemostatic sponge preparation are very few, but each of them characterizes the material exclusively with positive side. Let's look at a few reviews that we received quite recently.

Victoria: The child came from kindergarten and when talking with him, I heard some nasality in his voice. It turned out that his nose started bleeding during the day and the teacher put a hemostatic sponge in his nose. Indeed, by evening the child was breathing normally and upon examination nothing foreign was found in the nasal cavity. An interesting drug. Although I had no idea about its existence before.

Marina: Not long ago I found myself in a rather ridiculous situation when my elderly mother started bleeding from the nasal cavity, and everything I knew to help in this situation did not work. I had to resort to calling an ambulance. The brigade arrived only twenty-five minutes later. During this time, the woman lost a lot of blood, and I myself was not in the best condition. The nurse calmly rolled up a small swab and placed it right on mom’s nose. A few minutes later the blood calmed down and they showed me our savior in the form of a collagen sponge and taught me how to use it.

The tooth extraction procedure always involves bleeding. It usually stops on its own after some time. However, in some cases, bleeding can take a long time, and it becomes necessary to forcibly stop it. There are many ways to stop bleeding, for example, a hemostatic sponge has a good hemostatic effect. When using this tool, you must take into account existing indications and contraindications.

What is a hemostatic sponge?

A hemostatic sponge is an effective hemostatic agent that is widely used in various fields of medicine, in particular in dentistry after tooth extraction. It has sorbent and antiseptic properties, simultaneously stopping blood and protecting the wound from getting into it pathogenic bacteria. In addition, the product helps speedy healing damaged socket tissue.

Varieties

After tooth extraction, the product is used not only to stop bleeding, but also to prevent the development of possible inflammatory complications in case of complex surgical intervention, such as wisdom tooth extraction (see also:). In a routine procedure for removing a unit of dentition, a collagen hemostatic sponge is used to stop bleeding.

After surgery, when development is possible inflammatory process in the socket, doctors recommend the use of a special alveolar compress “Alvostaz”, which also has the shape of a sponge. It has hemostatic and antiseptic properties and is used for the prevention and treatment of alveolitis.

Release form

The hemostatic sponge is a pressed dark yellow powder with a mild odor. acetic acid. Sponges are produced in the form of square plates measuring 50x50 mm or 90x90 mm and have a dry porous elastic structure. At production, they are placed in tightly closed plastic bags, and then packaged individually in cardboard packages.

The sponges absorb liquid well, while swelling slightly. They don't dissolve in cold water and substances organic nature, however, are subject to partial dissolution in water having a temperature above 75 degrees. Pressed plates are made from a collagen solution obtained from the skin and tendons of large cattle. Substances such as nitrofural and boric acid.

One of the most effective is Alvostaz, which is packaged in plastic jars of 30 soaked medicinal solution hemostatic sponges measuring 1x1 cm. It is produced in 3 versions and contains eugenol, iodoform, thymol, lidocaine, tricalcium phosphate and propolis.

How does it work?

The hemostatic agent is used topically for wound packing and has wide range actions, including:

bleeding stop;
protecting the wound from the development of bacterial infection;
relief of foci of inflammation;
relief from painful sensations;
preventing swelling of the gum tissue;
accelerating the healing of the hole.

The effect of the product continues for several hours after tooth extraction. After a certain time, the collagen sponge placed on the wound in the gum is completely absorbed.

How does the hole heal after tooth extraction?

This article talks about typical ways to solve your issues, but each case is unique! If you want to find out from me how to solve your particular problem, ask your question. It's fast and free!

After applying a collagen sponge to the socket of an extracted tooth, the bleeding stops within a few minutes. The product is left in the wound until it resolves on its own; on average, this process takes 2-3 weeks. During this time, the wound begins to heal.

Complete restoration of damaged tissue occurs much faster than it would have been achieved without the use of a hemostatic sponge.

Instructions for using sponges in dentistry

Each package of the product contains detailed instructions for its use, which must be strictly followed to avoid complications. The use of a hemostatic sponge has its own nuances and features. A doctor should prescribe such drugs, taking into account contraindications and possible side effects.

Side effects

Using a hemostatic sponge after tooth extraction, like any other medication, may be associated with the development allergic reaction. To avoid this, before prescribing the drug, the doctor asks the patient about any cases of individual intolerance to any of them. medicinal components. When using a hemostatic sponge, there is also a possibility of re-infection of the wound in the gum.

Available contraindications

The product can cause allergies, so the use of a hemostatic sponge is prohibited in case of individual intolerance to its components. It should also not be used when arterial bleeding from large vessels. With great caution, this drug is prescribed to stop bleeding in children.

Application procedure

After removing the sponge from the bag, it is applied to the socket of the extracted tooth. After 3-5 minutes, the bleeding stops, the sponge is saturated with blood and fits tightly to the edges of the wound. If bleeding continue, it is recommended to place another one on top of the first sponge. After the bleeding has completely stopped, the sponge must be secured using a U-shaped suture. To enhance therapeutic effect Wetting the sponge with a thrombin solution is indicated.

The use of Alvostaz alveolar compresses has its own characteristics. Before using them, the wound is cleaned with warm saline, after which the doctor suctions it out with a pipette. The contents of the bottle with Alvostaz are applied to the wound in the gum, and then pressed down with a piece of sterile gauze for several minutes. If necessary, a gauze swab is left in the hole, but not longer than a day.

Doctor in mandatory warns the patient that the gauze should not be removed - after a while it will come off on its own. If tissue damage is severe, it may be necessary to repeatedly replace the tampon.

Composition and release form

Plates measuring 100x100 or 50x50 mm, prepared from a solution of collagen obtained from the skin or tendons of cattle; in sterile packaging, 10 pcs per box. 1 g of dry sponge contains 0.0125 g of boric acid and 0.0075 g of furatsilin.

Characteristic

Dry porous mass yellow color with a faint odor of acetic acid, soft-elastic consistency, absorbs liquid well, swelling slightly; insoluble in cold water and organic solvents, stable at temperatures not exceeding 65-75 °C. With more high temperature and a humid environment, contraction and partial dissolution of the sponge occur.

pharmachologic effect

pharmachologic effect - adsorbent, antiseptic, hemostatic.

Stimulates tissue regeneration.

Indications of the drug

Capillary bleeding (nasal, from the sinuses of the hard meninges, at dental interventions), in case of damage skin, bedsores, otitis media; for filling defects of parenchymal organs (for example, after liver resection) and closing the gallbladder bed (after cholecystectomy).

Contraindications

Hypersensitivity, arterial bleeding.

Directions for use and doses

Locally, pack the wound, after 3-5 minutes the sponge, soaked in blood, fits tightly to the bleeding surface; if bleeding continues, apply a second layer of sponge. After the bleeding has stopped, the sponge is fixed with a U-shaped suture. To enhance the hemostatic effect, the sponge can be moistened with thrombin solution. The sponge is not removed, because it subsequently completely resolves.

Storage conditions for the drug Hemostatic collagen sponge

In a dry place, protected from light, at a temperature of 10-30 °C.

Keep out of the reach of children.

Shelf life of the drug Hemostatic collagen sponge

5 years.

Do not use after the expiration date stated on the package.

Instructions for medical use

Hemostatic collagen sponge
Instructions for medical use- RU No. P N001656/01-2002

date last change: 19.06.2017

Dosage form

Hemostatic collagen sponge

Compound

For 1 g of the drug: collagen, substance-solution 2% - 49 g (0.98 g of dry collagen), nitrofural (furacilin) - 0.0075 g, boric acid - 0.0125 g

Description of the dosage form

The plates are yellow in color with a specific smell of acetic acid, with a relief surface, with a porous structure, with a thickness of 5 to 9 mm.

Pharmacological group

Hemostatic agent for local use.

pharmachologic effect

The drug has a local hemostatic and antiseptic effect, stimulates tissue regeneration. A sponge left in a wound or cavity is completely absorbed. When a hemostatic collagen sponge comes into contact with a bleeding surface, platelet adhesion and aggregation occurs, which leads to a rapid stop of capillary-parenchymal bleeding. Collagen undergoes biodegradation - gradual resorption in the body over 3-6 weeks, which allows the material to be left at the site of application without subsequent removal. Products of collagen biodegradation (lysis) stimulate wound repair processes, accelerating wound healing. The boric acid and nitrofural contained in the sponge have an antiseptic and antimicrobial effect.