Comparing the Effect of oral Clonidine and Tranexamic Acid on Bleeding During Rhinoplasty Under General Anesthesia: A Clinical Trial

Autor: Akram Hemmatipour, Amin Ali Konari, Hamid Reza Samii, Azam Jahangiri Mehr, Fateme Moshtaghi
Jazyk: English<br />Persian
Rok vydání: 2023
Předmět:
Zdroj: Journal of Mazandaran University of Medical Sciences, Vol 33, Iss 227, Pp 50-61 (2023)
Druh dokumentu: article
ISSN: 1735-9260
1735-9279
Popis: Background and purpose: Bleeding during rhinoplasty is a complication that causes the surgeon to lose vision and will cause other complications. So far, various methods have been proposed to reduce bleeding during nose surgery. The present study aims to compare the effect of oral clonidine and tranexamic acid on intraoperative bleeding in patients undergoing rhinoplasty. Materials and methods: In this randomized, double-blind clinical trial, 120 patients who were candidates for elective rhinoplasty surgery were included. In the first group, three µg/kg of clonidine was administered orally 90 minutes before surgery. In the second group, 250 µg/kg bw tranexamic acid capsules were administered orally two hours before surgery. There was no intervention in the control group. Bleeding levels, hemodynamic parameters, and surgeons' visual satisfaction were evaluated. Results: The mean age of patients (28.67±5.35) years and 96 (80.0%) were women. Regarding the effect of drug and surgeon’s visual satisfaction, there is a significant difference between the clonidine and tranexamic acid groups (P=0.055); the mean bleeding volume in the clonidine group was 112.0±0.47 and in the tranexamic acid group was 132.0±0.36. In addition, the clonidine group (P=0.008) and tranexamic acid (P
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