The Efficacy and Safety of the Loading Dose of Tranexamic Acid in Scoliosis Surgery During Perioperative
Study Details
Study Description
Brief Summary
This study intends to make full use of the advantage of spinal orthopedic surgery in our medical center.Analyze the blood loss and blood coagulation function and the influence of safety of load dose tranexamic acid (TXA) in scoliosis surgery during perioperative.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Normal saline(I) Intravenous infusion of 0.9% saline when start to cut the skin,do not intravenous tranexamic acid during the surgery |
|
Tranexamic acid(II) Intravenous infusion of tranexamic acid 1g when start to cut the skin in 1 hour |
Outcome Measures
Primary Outcome Measures
- Intraoperative blood loss [At the end of the surgery]
Intraoperative blood loss
- Incision drainage Incision drainage Incision drainage after surgery [24 hours after surgery]
Incision drainage after surgery
Secondary Outcome Measures
- Autologous blood doping [At the end of the surgery]
Recycle the blood during the intraoperative , back to the patient
- red blood cell transfusion [At the end of the surgery]
red blood cell transfusion
- Plasma infusion [At the end of the surgery]
Plasma infusion
- HB [Within 1 week before surgery;1 day after surgery]
hemoglobin
- WBC [Within 1 week before surgery;1 day after surgery]
White blood cells
- PTL [Within 1 week before surgery;1 day after surgery]
platelet
- PT [Within 1 week before surgery;1 day after surgery]
Prothrombin time
- APTT [Within 1 week before surgery;1 day after surgery]
activated partial thromboplastin time
- INR [Within 1 week before surgery;1 day after surgery]
International Normalized Ratio
Eligibility Criteria
Criteria
Inclusion Criteria:
-
age:18-60 years old
-
American Society of Anesthesiologists (ASA):I-II
-
The spinal orthopedic undergoing elective surgery
Exclusion Criteria:
-
Severe cardiopulmonary dysfunction
-
Blood coagulation dysfunction
-
Disorders of liver and kidney function
-
Tranexamic acid allergies
-
The history of pulmonary embolism and venous thrombosis of lower limbs
-
Anticoagulant drugs and nonsteroidal anti-inflammatory drugs in 7 days
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Second Affiliated Hospital, School of Medicine, Zhejiang University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2021-0215