Year : 2019 | Volume
: 13 | Issue : 5 | Page : 699--703
The use of tranexamic acid in elective lung surgery: a single-center experience
Ayman A Sallam1, Mohamed M Abo El Nasr1, Ahmed S Elgebaly2, Wael M El Feky3
1 Department of Cardio-thoracic Surgery, Tanta University, Tanta, Egypt
2 Department of Anesthesia and Post-Surgical Intensive Care, Tanta University, Tanta, Egypt
3 Department of Cardiothoracic Surgery, Kafr Elsheikh University, Kafr Elsheikh, Egypt
Context Acute pulmonary embolism (PE) is a lethal sequela of venous thromboembolism (VTE). Surgical trauma injures the tissue directly, releasing a large number of tissue agent. The frequency of re-exploration owing to bleeding after lung surgery is between 1 and 3.7%, whereas the need of allogenic blood transfusion spans from 20 to 52%.
Aims To assess the role of tranexamic acid (TXA) in reducing the need of allogenic blood transfusion in patients undergoing elective lung surgery.
Patients and methods This retrospective study was conducted on 140 patients who underwent elective lung surgery. Patients were allocated into two groups. Group I patients received TXA at the end of procedure, and group II patients received blood and/or blood product transfusion.
Statistical analysis Qualitative variables are expressed as mean±SD. Quantitative variables are compared by using the Student’s t test.
Results The patients comprised 80 males and 60 females in our series. All cases in group II needed transfusion of one or more of the following: concentrated red blood cells, whole blood, fresh frozen plasma, and platelets. There was an obvious decrease in the postoperative hemoglobin level between groups, in favor of blood transfusion group (group II), and this was statistically significant.
Conclusions Elective thoracic surgery patients have a low incidence of VTE and PE (2.85 and 2.14%, respectively). Hence, TXA helps in minimizing not only transfusion-related hazards but also operative cost.
MD Ayman A Sallam
Department of Cardio-thoracic Surgery, Tanta University, Tanta
|How to cite this article:|
Sallam AA, Abo El Nasr MM, Elgebaly AS, El Feky WM. The use of tranexamic acid in elective lung surgery: a single-center experience.Egypt J Bronchol 2019;13:699-703
|How to cite this URL:|
Sallam AA, Abo El Nasr MM, Elgebaly AS, El Feky WM. The use of tranexamic acid in elective lung surgery: a single-center experience. Egypt J Bronchol [serial online] 2019 [cited 2020 Aug 10 ];13:699-703
Available from: http://www.ejbronchology.eg.net/article.asp?issn=1687-8426;year=2019;volume=13;issue=5;spage=699;epage=703;aulast=Sallam;type=0