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Microfibrillar Collagen Hemostat
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Nursing Implications
Dosage Forms

Pronunciation
(mye kro FI bri lar KOL la jen HEE moe stat)

U.S. Brand Names
Avitene®; Helistat®; Hemotene®

Generic Available

No


Synonyms
Collagen; MCH

Pharmacological Index

Hemostatic Agent


Use

Adjunct to hemostasis when control of bleeding by ligature is ineffective or impractical


Pregnancy Risk Factor

C


Contraindications

Closure of skin incisions, contaminated wounds


Warnings/Precautions

Fragments of MCH may pass through filters of blood scavenging systems, avoid reintroduction of blood from operative sites treated with MCH; after several minutes remove excess material


Adverse Reactions

1% to 10%: Miscellaneous: Potentiation of infection, allergic reaction, adhesion formation


Drug Interactions

No data reported


Mechanism of Action

Microfibrillar collagen hemostat is an absorbable topical hemostatic agent prepared from purified bovine corium collagen and shredded into fibrils. Physically, microfibrillar collagen hemostat yields a large surface area. Chemically, it is collagen with hydrochloric acid noncovalently bound to some of the available amino groups in the collagen molecules. When in contact with a bleeding surface, microfibrillar collagen hemostat attracts platelets which adhere to its fibrils and undergo the release phenomenon. This triggers aggregation of the platelets into thrombi in the interstices of the fibrous mass, initiating the formation of a physiologic platelet plug.


Pharmacodynamics/Kinetics

Absorption: By animal tissue in 3 months


Usual Dosage

Apply dry directly to source of bleeding


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Nursing Implications

Fragments of MCH may pass through filters of blood-scavenging systems; avoid reintroduction of blood from operative sites treated with MCH


Dosage Forms

Fibrous: 1 g, 5 g

Nonwoven web: 70 mm x 70 mm x 1 mm; 70 mm x 35 mm x 1 mm

Sponge: 1" x 2" (10s); 3" x 4" (10s); 9" x 10" (5s)


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