Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/1/2025

Axiostat for Controlling Bleeding

Mechanism of Action and Clinical Effectiveness

  • Axiostat is an effective hemostatic agent recommended for controlling venous and moderate arterial bleeding, particularly in situations where access to the bleeding site is difficult, according to recent guidelines 1
  • Like other topical hemostatic agents, Axiostat serves as an adjunct to traditional surgical techniques to obtain hemorrhage control, as supported by the Critical Care journal 2, 3
  • Chitosan-based hemostatic agents like Axiostat are particularly useful when access to the site of bleeding is challenging, highlighting their value in complex cases 1

Clinical Applications and Important Considerations

  • Axiostat is recommended for venous or moderate arterial bleeding associated with parenchymal injuries, providing a clear indication for its use 1
  • The use of topical hemostatic agents, including Axiostat, should consider factors such as type of surgical procedure, cost, severity of bleeding, and coagulation status, emphasizing the need for a comprehensive approach 2, 4
  • European guidelines recommend using topical hemostatic agents, such as Axiostat, in combination with other surgical measures or with packing for optimal results, underscoring the importance of a multifaceted strategy 1, 2

Comparison to Other Hemostatic Agents

  • Gelatine-based products work by swelling in contact with blood to reduce blood flow, offering an alternative mechanism of action compared to Axiostat 2, 5
  • Fibrin and synthetic glues have both hemostatic and sealant properties, providing a distinct set of benefits in certain clinical scenarios 2, 7