Document Detail

Use of recombinant factor VILa in Operation Iraqi Freedom and Operation Enduring Freedom: survey of Army surgeons.
MedLine Citation:
PMID:  19055178     Owner:  NLM     Status:  MEDLINE    
Military physicians are using recombinant factor VIIa (rFVIIa) in Iraq and Afghanistan to help stop life-threatening hemorrhage in trauma patients. We constructed a questionnaire and surveyed Army general surgeons deployed to Iraq and/or Afghanistan about their predeployment experience, deployment experience, and projected postdeployment practice regarding rFVIIa usage. Most surgeons had rFVIIa available during their deployment (65%). The drug was used with varying frequency and subjective therapeutic effect. A majority of surgeons (79%) were unaware of any guideline or policy governing the use of rFVIIa. Seventy percent of respondents would use the drug in their future practice. Deployed surgeons generally have positive attitudes regarding the use of rFVIIa, but greater guidance and outcome measures are needed.
Ronald J Kembro; John D Horton; Michel Wagner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  173     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-12-05     Completed Date:  2009-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1057-9     Citation Subset:  IM    
Department of Surgery, William Beaumont Army Medical Center, 5005 North Piedras Street, El Paso, TX 79920-5001, USA.
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MeSH Terms
Factor VIIa / therapeutic use*
General Surgery*
Health Care Surveys
Health Policy
Hemorrhage / etiology,  prevention & control*
Iraq War, 2003 -*
Military Medicine*
Military Personnel*
Physician's Practice Patterns / statistics & numerical data*
Recombinant Proteins / therapeutic use
United States
Wounds and Injuries / complications*,  physiopathology
Reg. No./Substance:
0/Recombinant Proteins; 0/recombinant FVIIa; EC VIIa

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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