Chitosan/kaolin composite porous microspheres with high hemostatic efficacy.

The hemostatic performance of chitosan was greatly improved by blending it with kaolin to fabricate porous composite microspheres (CSMS-K) through inverse emulsion method combining with thermally induced phase separation. The CSMS-K had high amount of interior and surface pores. The synergetic hemostatic competence of chitosan and kaolin components made the hemostatic efficacy of CSMS-K superior to chitosan porous microspheres (CSMS). The hemostatic time of CSMS-K3 in the rat tail amputation and liver laceration models was down to respective 120 and 99s from 183 and 134s of CSMS, and the blood loss of CSMS-K3 was respectively 65% and 36% of that of CSMS in the rat tail amputation and liver laceration models. The whole blood clotting kinetics proved that CSMS-K3 formed larger blood clots than CSMS and Celox within a same time period. Our results suggested that the CSMS-K is a potential quick pro-coagulant agent for traumatic hemorrhaging control.

[1]  B. Bennett,et al.  Review of new topical hemostatic dressings for combat casualty care. , 2014, Military medicine.

[2]  Chaoyang Wang,et al.  Chitosan scaffolds for recyclable adsorption of Cu(II) ions , 2014 .

[3]  L. Blackbourne,et al.  Safety evaluation of new hemostatic agents, smectite granules, and kaolin-coated gauze in a vascular injury wound model in swine. , 2010, The Journal of trauma.

[4]  T. Rasmussen,et al.  The epidemiology of noncompressible torso hemorrhage in the wars in Iraq and Afghanistan , 2013, The journal of trauma and acute care surgery.

[5]  W. Ngah,et al.  Adsorption of Cu(II) ions in aqueous solution using chitosan beads, chitosan-GLA beads and chitosan-alginate beads , 2008 .

[6]  S. Nair,et al.  Biomaterials based on chitin and chitosan in wound dressing applications. , 2011, Biotechnology advances.

[7]  S. Moochhala,et al.  Development of a chitosan-based wound dressing with improved hemostatic and antimicrobial properties. , 2008, Biomaterials.

[8]  D. Trabattoni,et al.  A new kaolin-based hemostatic bandage use after coronary diagnostic and interventional procedures. , 2012, International journal of cardiology.

[9]  Hyun Suk Whang,et al.  Hemostatic Agents Derived from Chitin and Chitosan , 2005 .

[10]  M. Dubick,et al.  Determination of efficacy of new hemostatic dressings in a model of extremity arterial hemorrhage in swine. , 2009, The Journal of trauma.

[11]  Richard A. Harris,et al.  Effect of a chitosan-based hemostatic dressing on blood loss and survival in a model of severe venous hemorrhage and hepatic injury in swine. , 2003, The Journal of trauma.

[12]  Yongnian Yan,et al.  A Comparison of Chitosan and Collagen Sponges as Hemostatic Dressings , 2006 .

[13]  M. Brown,et al.  Experience with chitosan dressings in a civilian EMS system. , 2009, The Journal of emergency medicine.

[14]  C. Futalan,et al.  Comparative and competitive adsorption of copper, lead, and nickel using chitosan immobilized on bentonite , 2011 .

[15]  Michael H. Bartl,et al.  Photonic Structures in Biology: A Possible Blueprint for Nanotechnology , 2014 .

[16]  Haiqing Liu,et al.  Porous chitosan microspheres for application as quick in vitro and in vivo hemostat. , 2017, Materials science & engineering. C, Materials for biological applications.

[17]  John R Hess,et al.  A self-assembling hydrophobically modified chitosan capable of reversible hemostatic action. , 2011, Biomaterials.

[18]  W. Ngah,et al.  Utilization of chitosan–zeolite composite in the removal of Cu(II) from aqueous solution: Adsorption, desorption and fixed bed column studies , 2012 .

[19]  Kyung Min Park,et al.  Rapidly curable chitosan-PEG hydrogels as tissue adhesives for hemostasis and wound healing. , 2012, Acta biomaterialia.

[20]  F. Arnaud,et al.  Comparison of 10 hemostatic dressings in a groin puncture model in swine. , 2009, Journal of vascular surgery.

[21]  F. Dai,et al.  Chitosan/gelatin composite sponge is an absorbable surgical hemostatic agent. , 2015, Colloids and surfaces. B, Biointerfaces.

[22]  G. Bowlin,et al.  Comparison of a new hemostatic agent to current combat hemostatic agents in a Swine model of lethal extremity arterial hemorrhage. , 2007, The Journal of trauma.

[23]  F. Godinez,et al.  An alternative hemostatic dressing: comparison of CELOX, HemCon, and QuikClot. , 2008, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[24]  Mauricio Lynn,et al.  Early coagulopathy predicts mortality in trauma. , 2003, The Journal of trauma.

[25]  Y. A. Abou El-Reash,et al.  Adsorption of Cr(VI) and As(V) ions by modified magnetic chitosan chelating resin. , 2011, International journal of biological macromolecules.

[26]  J. Holcomb,et al.  The potential utility of fibrin sealant dressing in repair of vascular injury in swine. , 2007, The Journal of trauma.

[27]  Rolf Lefering,et al.  Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations. , 2006, The Journal of trauma.

[28]  I. Alsarra Chitosan topical gel formulation in the management of burn wounds. , 2009, International journal of biological macromolecules.

[29]  M. Kantam,et al.  Chitosan hydrogel : A green and recyclable biopolymer catalyst for aldol and knoevenagel reactions , 2006 .

[30]  Aili Wang,et al.  Preparation of nanosized anatase TiO2-coated kaolin composites and their pigmentary properties , 2009 .

[31]  M. Maitz,et al.  Blood coagulation on biomaterials requires the combination of distinct activation processes. , 2009, Biomaterials.

[32]  T. Rasmussen,et al.  Epidemiology and outcomes of non-compressible torso hemorrhage. , 2013, The Journal of surgical research.

[33]  Vivek A. Kumar,et al.  A Nanostructured Synthetic Collagen Mimic for Hemostasis , 2014, Biomacromolecules.

[34]  Y. Zhang,et al.  Synthesis and characterization of chitosan based dye containing quaternary ammonium group. , 2016, Carbohydrate polymers.

[35]  Xiaoxiao Zhu,et al.  The performance of a fly-larva shell-derived chitosan sponge as an absorbable surgical hemostatic agent. , 2010, Biomaterials.

[36]  Jianhua Cao,et al.  Glutaraldehyde Cross-Linked Chitosan Nanofibers: Preparation, Characterization and Application in Adsorption of Cu (II). , 2016, Journal of nanoscience and nanotechnology.

[37]  N. Young,et al.  Characterization and Comparison of Mesoporous Silica Particles for Optimized Drug Delivery , 2014 .

[38]  Don Johnson,et al.  The effects of QuikClot Combat Gauze on hemorrhage control in the presence of hemodilution and hypothermia , 2014, Annals of medicine and surgery.

[39]  O. Zegaoui,et al.  Adsorption studies of Cu(II) onto biopolymer chitosan and its nanocomposite 5%bentonite/chitosan. , 2016, Water science and technology : a journal of the International Association on Water Pollution Research.

[40]  S. Nair,et al.  Preparation and characterization of chitosan–gelatin/nanohydroxyapatite composite scaffolds for tissue engineering applications , 2010 .

[41]  Bartley P Griffith,et al.  Blood-aggregating hydrogel particles for use as a hemostatic agent. , 2014, Acta biomaterialia.