Surgifoam Instructions: A Comprehensive Guide
This guide provides comprehensive instructions for using Surgifoam‚ a sterile absorbable gelatin sponge or powder used to achieve hemostasis during surgical procedures. It covers preparation‚ application‚ and important considerations for safe and effective use.
What is Surgifoam?
Surgifoam is a sterile‚ water-insoluble‚ malleable‚ porcine gelatin absorbable sponge or powder. It is designed for hemostatic use‚ applied directly to a bleeding surface during various surgical procedures‚ excluding ophthalmic uses.
Definition and Composition
Surgifoam is defined as a sterile‚ water-insoluble‚ malleable‚ and absorbable gelatin sponge or powder. Its primary function is hemostasis‚ achieved by application to a bleeding surface. The composition of Surgifoam is derived from purified porcine gelatin‚ a protein substance obtained through the partial hydrolysis of collagen.
This gelatin matrix provides a structure that facilitates clot formation. Surgifoam is designed to be left in situ‚ where it absorbs approximately 35 times its weight in blood and body fluids. The gelatin material is eventually absorbed by the body within several weeks‚ depending on factors such as the amount used and the surgical site. The sponge or powder form allows for versatility in application across various surgical settings. Its porous structure aids in trapping blood components‚ accelerating the natural clotting process. Surgifoam is available in different sizes and formats to accommodate diverse surgical needs.
Intended Use and Indications
Surgifoam is indicated for surgical procedures‚ excluding ophthalmic procedures‚ as a hemostatic device. It’s intended to assist in controlling bleeding when standard surgical techniques are insufficient. Surgifoam can be used dry or saturated with sterile sodium chloride solution‚ depending on the surgeon’s preference and the specific bleeding site.
Its applications span across various surgical specialties including general surgery‚ neurosurgery‚ and orthopedic surgery. Surgifoam is suitable for use on oozing surfaces‚ in cavities‚ or around friable tissues where hemostasis is challenging to achieve. The product is designed to remain in place after application‚ providing a matrix for clot formation.
It is important to note that Surgifoam should not be used in the presence of infection. While Surgifoam can be used in conjunction with thrombin to enhance hemostasis‚ the decision to do so rests with the surgeon’s judgment based on the clinical scenario. Proper patient selection is essential to ensure appropriate use and optimal outcomes.
Surgifoam Preparation
Proper Surgifoam preparation is crucial for effective use. This involves preparing either the Surgifoam sponge or powder‚ depending on the specific product and surgical need. Sterility must be maintained throughout the process.
Surgifoam Sponge Preparation
Prior to application‚ inspect the Surgifoam sponge package for any signs of damage‚ ensuring sterility. It is recommended to use the sponge immediately after opening the package to maintain its sterile condition. The sponge can be used dry or saturated with sterile sodium chloride solution‚ according to the intended use.
Cut the Surgifoam sponge to the determined size and shape required for the bleeding site. Compressing the sponge before applying it to the bleeding site may be beneficial. Although not required‚ Surgifoam can be used with thrombin to enhance hemostasis. Always consult the instructions for use.
Remember to always follow the specific instructions included with your Surgifoam product for detailed guidance.
Surgifoam Powder Preparation
To prepare Surgifoam Absorbable Gelatin Powder‚ ensure you have sterile saline or thrombin available. The powder is designed to be reconstituted into a doughy paste for application. Add approximately 3-4ml of sterile saline or thrombin to the powder. Mix thoroughly until a paste with the desired consistency is achieved.
Avoid mechanical mixing during reconstitution to maintain the integrity of the powder. For syringe applications‚ ensure the paste is adequately mixed for smooth delivery. Always refer to the specific instructions included with the Surgifoam powder kit for detailed guidance on the reconstitution process and recommended ratios.
Use the prepared Surgifoam powder paste immediately after reconstitution to maximize its hemostatic effectiveness.
How to Use Surgifoam Sponges
Using Surgifoam sponges involves cutting the sponge to the appropriate size‚ compressing it before applying to the bleeding site‚ and holding it in place for optimal hemostasis.
Cutting and Shaping the Sponge
Before application‚ careful preparation of the Surgifoam sponge is essential. The sponge should be cut to a size and shape that precisely matches the dimensions of the bleeding site. Use sterile instruments to ensure no contamination occurs during the shaping process‚ preserving the sponge’s sterility. Accurately measuring the area needing hemostasis will help avoid using excess material. Compressing the sponge before applying it to the bleeding site aids in its adherence and promotes effective clot formation. By tailoring the Surgifoam sponge to the specific wound characteristics‚ the effectiveness of the hemostatic process can be optimized for better patient outcomes. The sponge should be handled with care.
Application to the Bleeding Site
Once the Surgifoam sponge has been appropriately sized and shaped‚ carefully apply it to the bleeding site. Ensure the area is as dry as possible before application to enhance adherence. Gently press the sponge onto the wound‚ maintaining consistent pressure to promote contact with the bleeding tissue. Avoid excessive manipulation‚ which may disrupt clot formation. Hold the Surgifoam in place until hemostasis is achieved‚ typically indicated by cessation of bleeding. If bleeding persists‚ additional layers of Surgifoam can be applied. Ensure each application is firmly in contact with the previous layer. After hemostasis‚ carefully monitor the site. Do not remove Surgifoam prematurely. Premature removal may cause re-bleeding.
Surgifoam with Thrombin
Surgifoam can be used with thrombin to enhance hemostasis. Consult the Instructions for Use for indications. Combining these accelerates clot formation. Always follow thrombin’s preparation and application guidelines carefully.
Combining Surgifoam and Thrombin
While Surgifoam can effectively manage bleeding on its own‚ combining it with thrombin can significantly enhance its hemostatic capabilities. Thrombin‚ an enzyme that plays a crucial role in the coagulation cascade‚ accelerates the formation of a stable blood clot when used in conjunction with Surgifoam.
To combine these products‚ carefully follow the instructions provided in the thrombin package insert for reconstitution and preparation. Once the thrombin solution is ready‚ Surgifoam can be either soaked or saturated with the thrombin solution before application to the bleeding site. Alternatively‚ thrombin can be applied directly to the Surgifoam already placed on the wound.
Ensure proper handling and sterile technique throughout the process to minimize the risk of contamination and optimize the effectiveness of the combined therapy.
Benefits of Using Thrombin
The addition of thrombin to Surgifoam offers several key advantages in achieving rapid and effective hemostasis during surgical procedures. Thrombin accelerates the natural clotting process‚ leading to faster clot formation and reduced bleeding time compared to using Surgifoam alone. This is particularly beneficial in cases with brisk bleeding or in patients with compromised coagulation.
Furthermore‚ the combination of Surgifoam and thrombin can improve clot stability‚ minimizing the risk of re-bleeding or clot dislodgement. The enhanced hemostatic effect can also reduce the overall amount of Surgifoam needed‚ potentially decreasing the risk of foreign body reactions and promoting faster wound healing.
By leveraging the synergistic action of Surgifoam and thrombin‚ surgeons can achieve superior hemostasis‚ leading to improved patient outcomes and reduced post-operative complications.
Important Considerations
Prior to using Surgifoam‚ always inspect the packaging for damage and ensure sterility. It is recommended to use Surgifoam immediately after opening to maintain its effectiveness and prevent contamination.
Sterility and Package Inspection
Maintaining sterility is paramount when handling Surgifoam to prevent post-operative infections. Always meticulously inspect the Surgifoam package before opening it. Look for any signs of damage‚ such as tears‚ punctures‚ or discoloration‚ which could compromise the product’s sterility. Do not use the Surgifoam if the packaging is damaged or the expiration date has passed.
Verify that the packaging is intact and has not been previously opened or tampered with. A compromised package indicates a potential breach in sterility. If any doubt exists regarding the sterility of the Surgifoam‚ discard it and obtain a new‚ unopened package. Using non-sterile Surgifoam can lead to severe complications‚ including surgical site infections‚ prolonged healing times‚ and increased patient morbidity. Always prioritize patient safety by ensuring the Surgifoam is sterile before application.
Use Immediately After Opening
To maintain optimal sterility and efficacy‚ it is strongly recommended that Surgifoam be used immediately after the package is opened. Prolonged exposure to the open environment can increase the risk of contamination‚ potentially compromising the sterile nature of the product. Once the package seal is broken‚ the Surgifoam is susceptible to airborne particles and microorganisms that may lead to infection if introduced into the surgical site.
Therefore‚ prepare the application site and have all necessary instruments ready before opening the Surgifoam package. Only open the package when you are fully prepared to use the Surgifoam without delay. Avoid leaving the opened Surgifoam exposed for extended periods. Discard any unused Surgifoam after the procedure to minimize the risk of contamination and ensure patient safety. Adhering to this practice helps maintain a sterile field and reduces the potential for post-operative complications related to infection.
Contraindications and Precautions
Surgifoam is contraindicated in certain situations. Precautions must be taken to avoid complications. Always consult the Instructions for Use for complete details regarding contraindications‚ warnings‚ and precautions before application to ensure patient safety.
Infection and Other Warnings
Surgifoam Sponge should not be used in the presence of infection‚ as it may exacerbate the condition. Exercise caution to maintain sterility during handling and application. Monitor the patient for signs of infection post-operatively and administer appropriate treatment if necessary. Surgifoam is not intended as a substitute for proper surgical technique and meticulous wound closure. Excessive amounts of Surgifoam should be avoided. Remove excess material to minimize the risk of foreign body reactions.
Be aware of potential allergic reactions and have appropriate measures in place. Surgifoam should be used with caution in patients with known gelatin allergies. Always refer to the complete product instructions and warnings for detailed information.
Avoiding Use as a Tampon or Plug
Surgifoam is specifically designed for topical application to bleeding surfaces to achieve hemostasis. It should never be used as a tampon or plug within a bleeding site. Using Surgifoam in this manner can lead to complications such as inadequate wound healing‚ infection‚ and foreign body reactions.
Surgifoam is not intended to provide structural support or to fill large defects. Ensure proper surgical technique is employed for wound closure. Avoid packing Surgifoam tightly into a wound‚ as this can impede drainage and increase the risk of infection. Always use Surgifoam according to the product instructions and indications. Misuse can compromise patient safety and outcomes.