By utilizing the Validated Intraoperative Bleeding Scale (VIBe SCALE), surgeons could reduce intraoperative & post operative complications by choosing the right adjunctive topical hemostatic product for the right bleed.1

Intuitive Understanding of Hemostatic Needs

How the VIBe SCALE can help you in surgery

The VIBe SCALE facilitates communication by creating a common language (1)

VIBe SCALE grades are based on visual field and anatomic appearance, qualitative description, and visual estimated blood loss (1)

GIF images Vibe Grade 0

Grade 0: No Bleeding

Kidney Abrasion. Grade 0 reflects clinically insignificant and unremarkable bleeds.

GIF of a Grade 1 bleed in the OR according to the VIBe Scale.

Grade 1: Mild

Capsular Liver Abrasion. Grade 1 Bleeds represent a general ooze, which well up over 1-2 minutes after blotting with gauze.

GIF looking at a Grade 2 image bleed as determined by the VIBEScale

Grade 2: Moderate

Grade 2 bleeds visibly well up after blotting, and are usually considered distracting to the surgical procedure.

GIF of a Grade 3 bleed in the OR and according to the VIBe Scale

Grade 3: Severe

Rupture of venous plexus during posterior lumbar laminectomy. Grade 3 bleeds well up immediately after blotting, and require treatment to continue with the surgery.

GIF of a grade 4 bleed in the OR and according to the VIBe Scale

Grade 4: Life Threatening

Abdominal Aortic Tear. Grade 4 bleeds are life-threatening and require immediate surgical treatment.

Image of the first page of the VIBe Scale paper study by Kevin Lewis, et al.

Access the VIBe SCALE Paper

Development and validation of an intraoperative bleeding severity scale for use in clinical studies of hemostatic agents.


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