Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500589 |
Resumo: | ABSTRACT Objective: To compare topical vs. intravenous tranexamic acid (TA) in total knee arthroplasty regarding blood loss and transfusion., Methods: Ninety patients were randomized to receive TA intravenously (20 mg/kg in 100 mL of saline; group IV), topically (1.5 g in 50 mL of saline, sprayed over the operated site, before release of the tourniquet; topical group), or intravenous saline (100 mL with anesthesia; control group). The volume of drained blood in 48, h, the amount of transfused blood, and the serum levels of hemoglobin and hematocrit before and after surgery were evaluated., Results: The groups were similar for gender, age, weight, laterality, and preoperative hemoglobin and hematocrit levels (p> 0.2). The hemoglobin level dropped in all groups when comparing the preoperative and the 48-h evaluations: the control group decreased 3.8 mg/dL on average, while the IV, group had a decrease of 3.0, and the topical group, of 3.2 (p= 0.019). The difference between the control and IV, groups was confirmed by Bonferroni test (p= 0.020). The difference between the control group and the topical group was not significant (p= 0.130), although there was less reduction in hemoglobin in the topical group; the comparison between the IV, group and the topical group was also not significant (p= 1.000). Conclusion: Using topic and IV, tranexamic acid decreased blood loss and the need for transfusion in total knee arthroplasty. Topical application showed results similar to IV use regarding the need for blood transfusion, but without the possible side effects of IV, administration. |
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Revista Brasileira de Ortopedia (Online) |
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Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplastyTranexamic acidArthroplastyReplacement arthroplastyKneeFibrin modulating agentsAntifibrinolyticABSTRACT Objective: To compare topical vs. intravenous tranexamic acid (TA) in total knee arthroplasty regarding blood loss and transfusion., Methods: Ninety patients were randomized to receive TA intravenously (20 mg/kg in 100 mL of saline; group IV), topically (1.5 g in 50 mL of saline, sprayed over the operated site, before release of the tourniquet; topical group), or intravenous saline (100 mL with anesthesia; control group). The volume of drained blood in 48, h, the amount of transfused blood, and the serum levels of hemoglobin and hematocrit before and after surgery were evaluated., Results: The groups were similar for gender, age, weight, laterality, and preoperative hemoglobin and hematocrit levels (p> 0.2). The hemoglobin level dropped in all groups when comparing the preoperative and the 48-h evaluations: the control group decreased 3.8 mg/dL on average, while the IV, group had a decrease of 3.0, and the topical group, of 3.2 (p= 0.019). The difference between the control and IV, groups was confirmed by Bonferroni test (p= 0.020). The difference between the control group and the topical group was not significant (p= 0.130), although there was less reduction in hemoglobin in the topical group; the comparison between the IV, group and the topical group was also not significant (p= 1.000). Conclusion: Using topic and IV, tranexamic acid decreased blood loss and the need for transfusion in total knee arthroplasty. Topical application showed results similar to IV use regarding the need for blood transfusion, but without the possible side effects of IV, administration.Sociedade Brasileira de Ortopedia e Traumatologia2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500589Revista Brasileira de Ortopedia v.52 n.5 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.08.005info:eu-repo/semantics/openAccessZekcer,AriPriori,Ricardo DelTieppo,ClauberSilva,Ricardo Soares daSeverino,Nilson Robertoeng2017-11-10T00:00:00Zoai:scielo:S0102-36162017000500589Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-11-10T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
title |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
spellingShingle |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty Zekcer,Ari Tranexamic acid Arthroplasty Replacement arthroplasty Knee Fibrin modulating agents Antifibrinolytic |
title_short |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
title_full |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
title_fullStr |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
title_full_unstemmed |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
title_sort |
Comparative study of topical vs. intravenous tranexamic acid regarding blood loss in total knee arthroplasty |
author |
Zekcer,Ari |
author_facet |
Zekcer,Ari Priori,Ricardo Del Tieppo,Clauber Silva,Ricardo Soares da Severino,Nilson Roberto |
author_role |
author |
author2 |
Priori,Ricardo Del Tieppo,Clauber Silva,Ricardo Soares da Severino,Nilson Roberto |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Zekcer,Ari Priori,Ricardo Del Tieppo,Clauber Silva,Ricardo Soares da Severino,Nilson Roberto |
dc.subject.por.fl_str_mv |
Tranexamic acid Arthroplasty Replacement arthroplasty Knee Fibrin modulating agents Antifibrinolytic |
topic |
Tranexamic acid Arthroplasty Replacement arthroplasty Knee Fibrin modulating agents Antifibrinolytic |
description |
ABSTRACT Objective: To compare topical vs. intravenous tranexamic acid (TA) in total knee arthroplasty regarding blood loss and transfusion., Methods: Ninety patients were randomized to receive TA intravenously (20 mg/kg in 100 mL of saline; group IV), topically (1.5 g in 50 mL of saline, sprayed over the operated site, before release of the tourniquet; topical group), or intravenous saline (100 mL with anesthesia; control group). The volume of drained blood in 48, h, the amount of transfused blood, and the serum levels of hemoglobin and hematocrit before and after surgery were evaluated., Results: The groups were similar for gender, age, weight, laterality, and preoperative hemoglobin and hematocrit levels (p> 0.2). The hemoglobin level dropped in all groups when comparing the preoperative and the 48-h evaluations: the control group decreased 3.8 mg/dL on average, while the IV, group had a decrease of 3.0, and the topical group, of 3.2 (p= 0.019). The difference between the control and IV, groups was confirmed by Bonferroni test (p= 0.020). The difference between the control group and the topical group was not significant (p= 0.130), although there was less reduction in hemoglobin in the topical group; the comparison between the IV, group and the topical group was also not significant (p= 1.000). Conclusion: Using topic and IV, tranexamic acid decreased blood loss and the need for transfusion in total knee arthroplasty. Topical application showed results similar to IV use regarding the need for blood transfusion, but without the possible side effects of IV, administration. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500589 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500589 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2017.08.005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.52 n.5 2017 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122360933122048 |