Issue 7, 2024

Functional hemostatic hydrogels: design based on procoagulant principles

Abstract

Uncontrolled hemorrhage results in various complications and is currently the leading cause of death in the general population. Traditional hemostatic methods have drawbacks that may lead to ineffective hemostasis and even the risk of secondary injury. Therefore, there is an urgent need for more effective hemostatic techniques. Polymeric hemostatic materials, particularly hydrogels, are ideal due to their biocompatibility, flexibility, absorption, and versatility. Functional hemostatic hydrogels can enhance hemostasis by creating physical circumstances conducive to hemostasis or by directly interfering with the physiological processes of hemostasis. The procoagulant principles include increasing the concentration of localized hemostatic substances or establishing a physical barrier at the physical level and intervention in blood cells or the coagulation cascade at the physiological level. Moreover, synergistic hemostasis can combine these functions. However, some hydrogels are ineffective in promoting hemostasis or have a limited application scope. These defects have impeded the advancement of hemostatic hydrogels. To provide inspiration and resources for new designs, this review provides an overview of the procoagulant principles of hemostatic hydrogels. We also discuss the challenges in developing effective hemostatic hydrogels and provide viewpoints.

Graphical abstract: Functional hemostatic hydrogels: design based on procoagulant principles

Article information

Article type
Review Article
Submitted
20 Aug 2023
Accepted
04 Jan 2024
First published
06 Jan 2024
This article is Open Access
Creative Commons BY-NC license

J. Mater. Chem. B, 2024,12, 1706-1729

Functional hemostatic hydrogels: design based on procoagulant principles

B. Zhang, M. Wang, H. Tian, H. Cai, S. Wu, S. Jiao, J. Zhao, Y. Li, H. Zhou, W. Guo and W. Qu, J. Mater. Chem. B, 2024, 12, 1706 DOI: 10.1039/D3TB01900D

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