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Asian Cardiovasc Thorac Ann 2004;12:121-124
© 2004 Asia Publishing EXchange Ltd


ORIGINAL CONTRIBUTION

Dose Comparison of Tranexamic Acid in Pediatric Cardiac Surgery

Sandeep Chauhan, MD, Akshay Bisoi, MCh1, Neeraj Kumar, MD, Dinesh Mittal, MS1, Shailaja Kale, MD, Usha Kiran, MD, Panangipalli Venugopal, MCh1

Department of Cardiac Anesthesia
1 Department of Cardiac Surgery, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India

For reprint information contact: Sandeep Chauhan, MD Tel: 91 11 2610 8115 Fax: 91 11 2658 8641 Email: sdeep61{at}yahoo.com Cardiac Anesthesia, Cardiothoracic Centre, All-India Institute of Medical Sciences, New Delhi 110029, India.

To compare different doses of tranexamic acid, 150 consecutive children with congenital cyanotic heart disease were randomly assigned to one of 5 groups of 30 each. Group A served as a control. Group B received 50 mg·kg–1 of tranexamic acid at induction of anesthesia. Group C received 10 mg·kg–1 at induction followed by an infusion of 1 mg·kg–1·h–1. Group D had 10 mg·kg–1 at induction, 10 mg·kg–1 on bypass, and 10 mg·kg–1 after protamine. Group E had 20 mg·kg–1 at induction and again after protamine. The control group had the longest sternal closure time, the greatest blood loss in the first 24 hours, and the highest requirements for blood and blood products. Among the 4 groups given tranexamic acid, group D (triple dose) had the best results, followed by group E (double dose). Group B (single dose) had the worst results among the groups receiving tranexamic acid.




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[Abstract] [Full Text] [PDF]




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