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Pereira, J., & Phan, T. (2004). Management of bleeding in patients with advanced cancer. Oncologist, 9, 561–570.
PURPOSE: To review an article with associated continuing medical education on the management of bleeding in patients with advanced cancer. Local interventions include suggestions for wound management.
Results Provided in the Reference
Includes eight references specific to dressing interventions for bleeding
Guidelines & Recommendations
Packing with or without pressure—nose, vagina, rectum; packing swabs can contain hemostatic agents (i.e., acetone in vagina or cocaine in nose)
Use nonadherent dressings.
Frequency of dressing changes minimized to prevent trauma
Topical dressings/ interventions include thromboplastin to control bleeding topically; absorbable gelatin topically or in the nose, rectum, or vagina; fibrin sealants; and collagen
Vasoconstricting or cauterizing agents: epinephrine, silver nitrate, formalin, and alum
Limitations
Peer-reviewed journal intended to disseminate practice interventions
Acknowledges that interventions are based on case studies and there is an overall lack of evidence