13. Physical Methods of Hemostasis

  1. Petra Seeber MD1 and
  2. Aryeh Shander MD, FCCM, FCCP2,3

Published Online: 4 JUL 2012

DOI: 10.1002/9781118338070.ch13

Basics of Blood Management, Second edition

Basics of Blood Management, Second edition

How to Cite

Seeber, P. and Shander, A. (2012) Physical Methods of Hemostasis, in Basics of Blood Management, Second edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118338070.ch13

Author Information

  1. 1

    Institute for Blood Management, Gotha, Germany

  2. 2

    Critical Care Medicine and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood, NJ, USA

  3. 3

    Mount Sinai School of Medicine, Mount Sinai Hospital, New York, NY, USA

Publication History

  1. Published Online: 4 JUL 2012
  2. Published Print: 24 AUG 2012

ISBN Information

Print ISBN: 9780470670705

Online ISBN: 9781118338070



  • Halstedian principle;
  • Electrocautery;
  • Radiofrequency ablation;
  • Saline-enhanced thermal sealing;
  • Electrothermal bipolar vessel sealing;
  • Microwave coagulation;
  • Laser;
  • Argon beam coagulation;
  • Ultrasound scalpel;
  • Cavitron ultrasonic surgical aspirator (CUSA)


Achieving expedited hemostasis after any kind of bleeding is vital to reduce mortality and morbidity. There is a vast array of methods to achieve this goal. A basic knowledge of these methods is essential to enable a blood manager to critically appraise them and to use them appropriately. Therefore, this chapter explores some of the physical methods available to achieve hemostasis, such as means to cut and coagulate at the same time, vascular maneuvers, embolization, tourniquet, balloon tamponade, packing, antishock garment, and the use or drains.