A review on recent advances in chitosan based composite for hemostatic dressings
Autor: | Mohammad Mujahid, Munezza Ata Khan |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Hemorrhage 02 engineering and technology Biochemistry Hemostatics Chitosan 03 medical and health sciences chemistry.chemical_compound Battlefield Structural Biology Fabrication methods medicine Humans Military Medicine Intensive care medicine Blood Coagulation Molecular Biology 030304 developmental biology Hemostasis 0303 health sciences Hemostatic Techniques business.industry General Medicine 021001 nanoscience & nanotechnology Bandages chemistry 0210 nano-technology business Bandage |
Zdroj: | International Journal of Biological Macromolecules. 124:138-147 |
ISSN: | 0141-8130 |
DOI: | 10.1016/j.ijbiomac.2018.11.045 |
Popis: | High mortality rate in potentially survivable casualties due to severe hemorrhage is a major challenge in today's battlefield because technological advancements have revolutionized the combat tactics and complicated the type and severity associated with wound grades. Quality of pre-hospital care prior to patient evacuation is crucial in determining the survival rate in injured patients. To deal with this challenge, considerable improvements in the hemostatic dressings have been introduced and pre-hospital care has been upgraded in many tactical combat casually care guidelines. Combat Gauze has been widely used bandage which is now been replaced by different chitosan based hemostatic dressings. It not only exhibits anti-bacterial activity but also induces hemostasis via direct interaction with erythrocytes and platelets. Its hemostasis mechanism is not dependent on host coagulation pathway which makes it an ideal dressing to stop bleeding in coagulopathic patients. Different generations of chitosan bandages have been developed to overcome the limitations of previous ones. This review provides performance analysis of chitosan bandage generations and discusses the progress made in its fabrication methods during the recent years. |
Databáze: | OpenAIRE |
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