Skip to main content

Advertisement

Log in

A Randomized Control Trial to Verify the Efficacy of Pre-Operative Intra Venous Tranexamic Acid in the Control of Tonsillectomy Bleeding

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Tonsillectomy is an age old surgery which is still very commonly done. Bleeding related to surgery is the major problem. This study is done to verify by randomized control trial the efficacy of preoperative intravenous tranexamic acid in the control of tonsillectomy bleeding. Hundred cases undergoing tonsillectomy were randomized into two groups, one of which received pre-operatively intra venous tranexamic acid, 10 mg kg−1. The other group patients were given a placebo. Amount of bleeding was assessed in each case. The study group had statistically highly significant reduction in bleeding. There were no side effects of the drug. This finding is similar to that in other studies for tonsillectomy, other surgeries and other hemorrhagic conditions. Tranexamic acid in the dose of 10 mg kg−1 given intra venous pre-operatively is effective in the control of tonsillectomy bleeding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ramzi TY, Rande HL (2002) History and current practice of tonsillectomy. Laryngoscope 112:3–5

    Google Scholar 

  2. Macnamara M (2008) Acute and chronic pharyngeal infection. In: Michael G, George GB, Martin JB, Ray C, John H, Nicholas SJ et al. (eds) Scott-Brown”s otorhinolaryngology, head and neck surgery, 7th edn. Edward Arnold (Publishers) Ltd, London, p 1991, 1994, 1995

  3. Colin D (1999) Tranexamic acid In: Therapeutic Drugs, 2nd edn. Churchill Livingstone, New York, p T150–T152

  4. Hekmat K, Zimmermann T, Kampe S, Kasper SM, Weber HJ, Geissler HJ et al (2004) Impact of tranexamic acid vs. aprotinin on blood loss and transfusion requirements after cardiopulmonary bypass: a prospective, randomised, double-blind trial. Curr Med Resp Opin 20(1):121–126

    Article  CAS  Google Scholar 

  5. Mehr-Aein A, Sadeghi M, Madani-civi M (2007) Does tranexamic acid reduce blood loss in off-pump coronary artery bypass? Asian Cardiovasc Thorac Ann 15(4):285–289

    PubMed  Google Scholar 

  6. Alexander FL, Jacinta JM, Frank HM, Michel IM, Eline FB, Robert AE et al (2009) Tranexamic acid and aprotinin in low and intermediate risk cardiac surgery: a non-sponsored, double-blind, randomised, placebo-controlled trial. Eur J Cardiothorac Surg 36:322–329

    Article  Google Scholar 

  7. Hiippala S, Strid L, Wennerstrand M, Arvela V, Mnatyla S, Ylinen J et al (1995) Tranexamic acid (Cyklokapron) reduces perioperative blood loss associated with total knee arthroplasty. Br J Anaesth 74(5):534–537

    Article  PubMed  CAS  Google Scholar 

  8. Erik L, Joanne G, Christiane C, Alain R (2004) Tranexamic acid reduces the need for allogenic red blood cell transfusions in patients undergoing total hip replacement. Can J Anesth 51(1):31–37

    Article  Google Scholar 

  9. Schott U, Jacobsson A, Ekstorm B, Annerstedt M (2005) Single postoperative dose of tranexamic acid reduces blood loss and heterologous blood transfusion in radical retropubic prostatectomy. J Thromb Hemost 3(1):Ab. No. P1375

  10. Gohel M, Patel P, Gupta A, Desai P (2007) Efficacy of tranexamic acid in decreasing blood loss during and after caesarean section: A randomized case controlled prospective study. J Obstet Gynecol 57(3):227–230

    Google Scholar 

  11. Yang H, Zheng S, Shi C et al (2004) Clinical study on the efficacy of tranexamic acid in reducing postpartum blood loss: a randomized comparative, multicenter trial. Chin J Obstet Gynecol 6:590–592

    Google Scholar 

  12. Park K (2000) Health information and basic medical statistics. In: Park’s textbook of preventive and social medicine, 16th edn. M/s Banarsidas Bhanot, Jabalpur, p 599

  13. Marcel HL, Britt TI, Jolle K, Asger L, Annemarie TK (2006) Quantification of surgical blood loss. Vet Surg 35(4):388–393

    Article  Google Scholar 

  14. Richard ML, Monty CM (2000) Critical care; fluid, electrolyte and acid-base balance; blood transfusion. In: Russell RCG, Norman SW, Christopher JKB (eds) Bailey & Love’s short practice of surgery, 23rd edn. Arnold, London, p 46

    Google Scholar 

  15. Castelli G, Vogts E (1977) Result of an antifibrinolytic treatment using tranexamic acid for the reduction of blood loss during and after tonsillectomy. Schweiz Med Wochenschr 107(22):780–784

    PubMed  CAS  Google Scholar 

  16. Biggs JC, Hugh TB, Dodds AJ (1976) Tranexamic acid and upper gastrointestinal haemorrhage—a double-blind trial. Gut 17:729–734

    Article  PubMed  CAS  Google Scholar 

  17. Sheila TC, Warner GT (1970) Treatment of menorrhagia with tranexamic acid. A double-blind trial. Br Med J 4:214–216

    Article  Google Scholar 

  18. Senghore N, Harris M (1999) The effect of tranexamic acid (cyclokapron) on blood loss after third molar extraction under a day case general anaesthetic. Br Dent J 156(12):634–636

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ajay George.

Rights and permissions

Reprints and permissions

About this article

Cite this article

George, A., Kumar, R., Kumar, S. et al. A Randomized Control Trial to Verify the Efficacy of Pre-Operative Intra Venous Tranexamic Acid in the Control of Tonsillectomy Bleeding. Indian J Otolaryngol Head Neck Surg 63, 20–26 (2011). https://doi.org/10.1007/s12070-010-0095-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-010-0095-4

Keywords

Navigation