Comparison of Tranexamic acid, Remifentanil, and Hydralazine on the bleeding volume during Dacryocystorhinostomy surgery.

Blood loss dacryocystorhinostomy hemorrhage induced hypotension

Journal

International journal of physiology, pathophysiology and pharmacology
ISSN: 1944-8171
Titre abrégé: Int J Physiol Pathophysiol Pharmacol
Pays: United States
ID NLM: 101521074

Informations de publication

Date de publication:
2022
Historique:
received: 06 08 2021
accepted: 07 05 2022
entrez: 27 7 2022
pubmed: 28 7 2022
medline: 28 7 2022
Statut: epublish

Résumé

Bleeding in Dacryocystorhinostomy (DRC) limits the surgeon's sight and access. Tranexamic acid, Remifentanil, and Hydralazine reduce intraoperative blood loss. However, no study has been carried out to compare the efficacy of the latter drugs during DCR surgery. Ninety healthy candidates for DCR surgery with chronic Dacryocystitis (aging 20-80) were randomly assigned in groups of 30 to receive low doses of Tranexamic acid (TXA) (10 mg/kg with a maximum dose of 1000 mg), Remifentanil (0.1 µ/kg), or Hydralazine (0.1 mg/kg). All drugs were infused over 15 minutes before the initiation of surgery. The primary outcome was the bleeding volume during the surgery and until 2 hours in recovery. This study was approved by the Iranian Registry of Clinical Trials with the code of IRCT20210614051574N10 (https://en.irct.ir/trial/62759). Thirty patients (mean age ± SD: 50.48±13.4) were investigated. Mean blood loss volume was lower in Remifentanil and Hydralazine groups compared with the TXA group (P<0.05); there was no significant difference (P>0.05) in bleeding volume between Remifentanil and Hydralazine groups (Tranexamic acid group: 146.83±91 ml, Remifentanil group: 77.6±52.1 ml, Hydralazine group: 80.0±48.7 ml, 95% confidence interval, P<0.05). Our results show that Remifentanil and Hydralazine are more effective than Tranexamic acid in bleeding control.

Sections du résumé

BACKGROUND BACKGROUND
Bleeding in Dacryocystorhinostomy (DRC) limits the surgeon's sight and access. Tranexamic acid, Remifentanil, and Hydralazine reduce intraoperative blood loss. However, no study has been carried out to compare the efficacy of the latter drugs during DCR surgery.
METHODS METHODS
Ninety healthy candidates for DCR surgery with chronic Dacryocystitis (aging 20-80) were randomly assigned in groups of 30 to receive low doses of Tranexamic acid (TXA) (10 mg/kg with a maximum dose of 1000 mg), Remifentanil (0.1 µ/kg), or Hydralazine (0.1 mg/kg). All drugs were infused over 15 minutes before the initiation of surgery. The primary outcome was the bleeding volume during the surgery and until 2 hours in recovery. This study was approved by the Iranian Registry of Clinical Trials with the code of IRCT20210614051574N10 (https://en.irct.ir/trial/62759).
RESULTS RESULTS
Thirty patients (mean age ± SD: 50.48±13.4) were investigated. Mean blood loss volume was lower in Remifentanil and Hydralazine groups compared with the TXA group (P<0.05); there was no significant difference (P>0.05) in bleeding volume between Remifentanil and Hydralazine groups (Tranexamic acid group: 146.83±91 ml, Remifentanil group: 77.6±52.1 ml, Hydralazine group: 80.0±48.7 ml, 95% confidence interval, P<0.05).
CONCLUSION CONCLUSIONS
Our results show that Remifentanil and Hydralazine are more effective than Tranexamic acid in bleeding control.

Identifiants

pubmed: 35891928
pmc: PMC9301179

Types de publication

Journal Article

Langues

eng

Pagination

177-186

Informations de copyright

IJPPP Copyright © 2022.

Déclaration de conflit d'intérêts

None.

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Auteurs

Darioush Moradi Farsani (D)

Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

Hamidreza Shetabi (H)

Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

Aryan Rafiee Zadeh (A)

School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

Niloofar Saffari Rad (N)

School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

Classifications MeSH