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Bleeding after thoracic surgery is a major cause of perioperative hemodynamic instability and transfusion requirement, which can lead to a rise of morbidity, mortality and costs.
The objective of this study is to evaluate the efficiency of tranexamic acid (TA) in the prevention of perioperative bleeding in thoracic hemorrhagic surgery.
It's a randomized, double-blind, prospective study including patients over the age of 18 years old, programmed for potentially hemorrhagic thoracic surgery, such as pulmonary resection for aspergilloma, pulmonary tuberculosis, pleural decortication, lobectomy with parietectomy or redux. Demographic, clinical, biological data as well as transfusion requirements, blood loss and perioperative complications were identified.
Two groups of patients:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group TA | Experimental | receiving tranexamic acid (25mg/kg) in bolus at induction followed by 2mg/kg/h in continuous infusion until the end of the act. |
|
| Group SSI | Placebo Comparator | Serum saline isotonic (SSI) group: placebo with isotonic saline serum. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tranexamic acid injection | Drug | to receive tranexamic acid (25mg/kg) in bolus at induction followed by 2mg/kg/h in continuous infusion until the end of the act. |
|
| Measure | Description | Time Frame |
|---|---|---|
| intraoperative bleeding volume | The blood volume collected in the suction tanks and the operative drapes intraoperatively | five hours |
| Measure | Description | Time Frame |
|---|---|---|
| The number of red globular caps transfused for each group | transfusion if hemoglobin less than 7 g / dl | one month |
| bleeding volume in the thoracic drains postoperatively | bleeding volume in the thoracic drains postoperatively every day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tahar Mestiri, Professor | university Manar Tunis | Principal Investigator |
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| ID | Term |
|---|---|
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D014148 | Tranexamic Acid |
| ID | Term |
|---|---|
| D003509 | Cyclohexanecarboxylic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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It's a randomized, double-blind, prospective study including patients over the age of 18 years old, programmed for potentially hemorrhagic thoracic surgery, such as pulmonary resection for aspergilloma, pulmonary tuberculosis, pleural decortication, lobectomy with parietectomy or redux. Demographic, clinical, biological data as well as transfusion requirements, blood loss and perioperative complications were identified.
Two groups of patients:
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double blind investigation
|
| SSI | Drug | Serum Salin isotonic injected |
|
|
| one month |