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신경외과(NS) 수술시 자주 사용하는 약물 (지혈제 등)-NS 수술스크럽이 직접 정리한 자료

"신경외과(NS) 수술시 자주 사용하는 약물 (지혈제 등)-NS 수술스크럽이 직접 정리한 자료"에 대한 내용입니다.
3 페이지
한컴오피스
최초등록일 2023.04.26 최종저작일 2022.05
간호학 간호학과제 지혈제
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신경외과(NS) 수술시 자주 사용하는 약물 (지혈제 등)-NS 수술스크럽이 직접 정리한 자료
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    미리보기

    목차

    1. 사진
    2. 작용
    3. 사용방법
    4. 주의사항

    본문내용

    * 지혈제의 일반적인 특징
    - 지혈에 사용되는 정확한 수술 기법 및 결찰이 있으면 그것을 우선으로 사용한다.
    - 지혈제는 다른 일반적인 지혈 절차의 대용으로 사용하거나 예방적인 지혈제로서 사용하지 않는다.
    - 사용하고 남은 지혈제는 재멸균 하지 않는다.
    - 감염이 있는 부위에는 지혈제를 사용하지 않는다.
    - 피부절개부의 유합을 방해할 수 있으므로 피부절개의 봉합시에는 사용하지 않는다.
    - 혈전형성 경향이 있을 수 있으므로 응고촉진제와 병용하여 사용하지 않는다.

    참고자료

    · 서울 아산병원 의약품 정보
    · 네이버 약학용어사전
    · 약학정보원

  • AI와 토픽 톺아보기

    • 1. Avitene
      Avitene is a collagen-based hemostatic agent that is commonly used in surgical procedures to control bleeding. It is derived from bovine collagen and acts as a physical barrier to help stop bleeding by promoting platelet aggregation and the activation of the clotting cascade. Avitene is biocompatible, biodegradable, and can be easily molded or shaped to fit the specific needs of the surgical site. It has been widely used in a variety of surgical specialties, including cardiovascular, orthopedic, and neurosurgical procedures, with generally positive outcomes. However, as with any medical device, there are potential risks and complications associated with the use of Avitene, such as foreign body reactions, infection, and the potential for allergic reactions in patients with known sensitivities to bovine-derived products. Overall, Avitene appears to be a useful and effective hemostatic agent when used appropriately and in accordance with the manufacturer's instructions.
    • 2. Bone wax
      Bone wax is a surgical implant material that is commonly used to control bleeding from cut or exposed bone surfaces during surgical procedures. It is composed of beeswax, paraffin, and other additives and is applied directly to the bleeding bone surface to create a physical barrier that helps to stop the bleeding. Bone wax has been used in various surgical specialties, including orthopedics, neurosurgery, and cardiothoracic surgery, with generally positive results. However, there are some potential drawbacks and risks associated with the use of bone wax. It can interfere with bone healing and regeneration, leading to delayed union or non-union of fractures, and it has been associated with an increased risk of infection and foreign body reactions. Additionally, bone wax can be difficult to remove from the surgical site, which can complicate future procedures. Despite these potential issues, bone wax remains a widely used and effective tool for controlling bleeding from bone surfaces during surgery when used judiciously and in accordance with best practices.
    • 3. Surgicel
      Surgicel is an oxidized regenerated cellulose-based hemostatic agent that is commonly used in surgical procedures to control bleeding. It is a sterile, absorbable, and non-adherent material that can be easily molded or shaped to fit the specific needs of the surgical site. Surgicel works by promoting the formation of a physical barrier that helps to stop bleeding, as well as by activating the clotting cascade and promoting platelet aggregation. It has been widely used in a variety of surgical specialties, including cardiovascular, orthopedic, and neurosurgical procedures, with generally positive outcomes. However, as with any medical device, there are potential risks and complications associated with the use of Surgicel, such as foreign body reactions, infection, and the potential for allergic reactions in patients with known sensitivities to cellulose-based products. Additionally, Surgicel can interfere with wound healing and may need to be removed from the surgical site if it is not fully absorbed. Overall, Surgicel appears to be a useful and effective hemostatic agent when used appropriately and in accordance with the manufacturer's instructions.
    • 4. Gelform
      Gelform is a gelatin-based hemostatic agent that is commonly used in surgical procedures to control bleeding. It is a sterile, absorbable, and non-adherent material that can be easily molded or shaped to fit the specific needs of the surgical site. Gelform works by promoting the formation of a physical barrier that helps to stop bleeding, as well as by activating the clotting cascade and promoting platelet aggregation. It has been widely used in a variety of surgical specialties, including cardiovascular, orthopedic, and neurosurgical procedures, with generally positive outcomes. However, as with any medical device, there are potential risks and complications associated with the use of Gelform, such as foreign body reactions, infection, and the potential for allergic reactions in patients with known sensitivities to gelatin-based products. Additionally, Gelform can interfere with wound healing and may need to be removed from the surgical site if it is not fully absorbed. Overall, Gelform appears to be a useful and effective hemostatic agent when used appropriately and in accordance with the manufacturer's instructions.
    • 5. Topical thrombin
      Topical thrombin is a hemostatic agent that is commonly used in surgical procedures to control bleeding. It is a purified form of the enzyme thrombin, which plays a key role in the blood clotting process. When applied to a bleeding site, topical thrombin helps to activate the clotting cascade, leading to the formation of a stable fibrin clot that helps to stop the bleeding. Topical thrombin has been used in a variety of surgical specialties, including cardiovascular, orthopedic, and neurosurgical procedures, with generally positive outcomes. It is typically easy to apply and can be used in combination with other hemostatic agents, such as collagen-based or gelatin-based products, to enhance its effectiveness. However, as with any medical device, there are potential risks and complications associated with the use of topical thrombin, such as the development of antibodies, allergic reactions, and the potential for thrombotic events. Overall, topical thrombin appears to be a useful and effective hemostatic agent when used appropriately and in accordance with the manufacturer's instructions.
    • 6. Floseal
      Floseal is a hemostatic agent that is composed of a gelatin matrix and a human-derived thrombin component. It is commonly used in surgical procedures to control bleeding, particularly in areas that are difficult to access or where traditional suturing or cautery techniques may not be effective. Floseal works by creating a physical barrier to stop bleeding, while also activating the clotting cascade through the thrombin component. It has been used in a variety of surgical specialties, including cardiovascular, orthopedic, and neurosurgical procedures, with generally positive outcomes. Floseal is easy to apply and can be molded or shaped to fit the specific needs of the surgical site. However, as with any medical device, there are potential risks and complications associated with the use of Floseal, such as the development of antibodies, allergic reactions, and the potential for thrombotic events. Additionally, Floseal can interfere with wound healing and may need to be removed from the surgical site if it is not fully absorbed. Overall, Floseal appears to be a useful and effective hemostatic agent when used appropriately and in accordance with the manufacturer's instructions.
    • 7. Adcon
      Adcon is a surgical adhesion barrier that is used to help prevent the formation of post-operative adhesions, which can be a common complication of many surgical procedures. It is composed of a modified hyaluronic acid and carboxymethylcellulose hydrogel that is designed to create a physical barrier between tissues, preventing them from adhering to one another during the healing process. Adcon has been used in a variety of surgical specialties, including orthopedic, general, and gynecological procedures, with generally positive outcomes. By reducing the formation of adhesions, Adcon can help to minimize the risk of complications such as chronic pain, bowel obstruction, and impaired organ function. However, as with any medical device, there are potential risks and complications associated with the use of Adcon, such as the potential for infection, foreign body reactions, and the risk of the barrier not being fully absorbed. Overall, Adcon appears to be a useful and effective adhesion barrier when used appropriately and in accordance with the manufacturer's instructions.
    • 8. Regenseal
      Regenseal is a hemostatic agent that is composed of a combination of collagen and thrombin. It is designed to help control bleeding during surgical procedures by promoting the formation of a stable fibrin clot. Regenseal has been used in a variety of surgical specialties, including cardiovascular, orthopedic, and neurosurgical procedures, with generally positive outcomes. The collagen component of Regenseal helps to create a physical barrier to stop bleeding, while the thrombin component activates the clotting cascade to further enhance the hemostatic effect. Regenseal is easy to apply and can be molded or shaped to fit the specific needs of the surgical site. However, as with any medical device, there are potential risks and complications associated with the use of Regenseal, such as the development of antibodies, allergic reactions, and the potential for thrombotic events. Additionally, Regenseal can interfere with wound healing and may need to be removed from the surgical site if it is not fully absorbed. Overall, Regenseal appears to be a useful and effective hemostatic agent when used appropriately and in accordance with the manufacturer's instructions.

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