Recombinant Activated Factor VIIa and Hemostasis in Critical Care: a Focus on Trauma

Abstract

In this article we describe the current use of recombinant activated factor VII (rFVIIa; NovoSeven (trademark) in trauma patients. Emphasis is placed on current uses as defined by key studies, efficacy data, and safety data. Most published studies in trauma patients are retrospective case studies and reports, although an international, double-blind, randomized, controlled, phase II study has been conducted that reported on the efficacy of rFVIIa in reducing the amount of blood products transfused in blunt trauma patients. That study demonstrated the efficacy and safety profile of this hemostatic agent as compared with placebo as adjunctive therapy in the management of severe bleeding associated with trauma. Further prospective, randomized, and placebo-controlled clinical trials will yield more information on the role of rFVIIa in the management of traumatic bleeding.

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Document Details

Document Type
Technical Report
Publication Date
Oct 07, 2005
Accession Number
ADA628157

Entities

People

  • Alicia M. Mohr
  • Jacques Duranteau
  • John B Holcomb
  • Richard P. Dutton

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Arteries
  • Blood
  • Blood Coagulation Factors
  • Brain Injuries
  • Cardiovascular Surgery
  • Cardiovascular System
  • Embolism And Thrombosis
  • Health Services
  • Hemostasis
  • Liver Diseases
  • Patient Care
  • Shock (Pathology)
  • Therapy
  • Veins
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Trauma Surgery or Emergency Medicine.