Accession Number:

AD0837110

Title:

CYANOACRYLATE ADHESIVES AS EMERGENCY HEMOSTATIC AIDS IN COMBAT CASUALTIES REPORT OF SEVEN PATIENTS FROM VIETNAM,

Descriptive Note:

Corporate Author:

WASHINGTON UNIV ST LOUIS MO SCHOOL OF MEDICINE

Personal Author(s):

• Collins, John A.
• James, Paul M.
• Levitsky, Sidney A.
• Bredenburg, Carl E.
• Anderson, Robert W.

Report Date:

1968-01-01

Pagination or Media Count:

11.0

Abstract:

The rapidly polymerizing adhesive, n-butyle cyanoacrylate, has been used in seven combat casualties in the Republic of Vietnam -- five times on hepatic wounds, once on a renal wound, and twice in the retroperitoneum. In each instance there was continuing hemorrhage resulting from failure of standard suturing techniques. In most instances this hemorrhage was clearly an imminent threat to the life of the patient. In all patients the bleeding was of a low pressure, oozing type. Application of the adhesive was made on a temporarily dried tissue surface. Hemostasis was achieved and maintained in all cases. The higher cyanoacrylate homologs are effective hemostatic aids. Because they are slowly degradable and thus may act as foreign bodies for a prolonged period, their use in body cavities should be limited, for the time being, to life-threatening situations and used only under proper circumstances by those experienced in their use until long-range effects in humans can be clearly defined. Author

Descriptors:

• *SURGERY
• ADHESIVES
• ACRYLIC RESINS
• MILITARY MEDICINE
• CASUALTIES
• HEMORRHAGE
• LIVER
• WOUNDS AND INJURIES
• PERITONEUM
• VIETNAM

Subject Categories:

• Medicine and Medical Research
• Weapons Effects (Biological)

Distribution Statement:

APPROVED FOR PUBLIC RELEASE