IMPLICATIONS OF NEW DRY FIBRIN SEALANT TECHNOLOGY FOR TRAUMA SURGERY

Rapid definitive hemorrhage control, both in the field and in the oper ating room, remains an elusive goal in trauma patient management. Meth ods to control hemorrhage have not changed for years. Dry Fibrin Seala nt technology has progressed rapidly in the last several years, possib ly allowing rapid definitive hemorrhage control. This article reviews the history, theory, and problems with the homemade mixtures currently in clinical use. Ln animal hemorrhage studies, Dry Fibrin Sealant pro ducts have preserved blood pressure and significantly reduced blood lo ss. Future applications of various delivery systems (dressing, foam, p owder, liquid) also are discussed.