The Effect of Fibrinogen on Blood Loss After Lumbar Surgery: A Double-Blind Randomized Clinical Trial.
| Title: | The Effect of Fibrinogen on Blood Loss After Lumbar Surgery: A Double-Blind Randomized Clinical Trial. |
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| Authors: | Javaherforoosh Zadeh F; Department of Anesthesia, Ahvaz Anesthesiology and Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.; Janatmakan F; Department of Anesthesia, Ahvaz Anesthesiology and Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.; Shafaee Tonekaboni M; Department of Anesthesia, Ahvaz Anesthesiology and Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.; Soltanzadeh M; Department of Anesthesia, Ahvaz Anesthesiology and Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. |
| Source: | Anesthesiology and pain medicine [Anesth Pain Med] 2019 Jun 01; Vol. 9 (3), pp. e91199. Date of Electronic Publication: 2019 Jun 01 (Print Publication: 2019). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Brieflands Country of Publication: Netherlands NLM ID: 101585412 Publication Model: eCollection Cited Medium: Print ISSN: 2228-7523 (Print) Linking ISSN: 22287523 NLM ISO Abbreviation: Anesth Pain Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 's-Hertogenbosch, The Netherlands : Brieflands; Original Publication: Hoensbroek, Limburg : Kowsar Corp. |
| Abstract: | Background: Spinal surgeries often have a high risk of hemorrhage during and after surgery, thus most patients require blood transfusions and blood products. Fibrinogen is used in different forms to control hemorrhage.; Objectives: The present study aimed to evaluate the outcomes of prophylactic fibrinogen administration in reducing hemorrhage after lumbar surgery.; Methods: This was a randomized clinical trial conducted on 30 patients undergoing lumbar surgery. The levels of fibrinogen, as well as hemoglobin (HB), hematocrit (HCT), prothrombin time (PT), partial thromboplastin time (PTT), and INR, were assessed preoperatively as the baseline values. The patients were divided into two groups: intervention (N = 15) and control (N = 15) groups. The intervention group received 1 g fibrinogen dissolved in 50 cc distilled water with surgical incision and the control group received 50 cc distilled water with the surgical incision. At the end of the operation, the volume of hemorrhage transfused blood products (fresh frozen plasma, packed cell, and platelet) was measured. In addition, at 0, 6, and 24 hours after the end of surgery and transfer to recovery, serum levels of fibrinogen, HB, HCT, INR, PT, PTT, and hemovac drain volume were measured.; Results: The hemorrhage during and after the operation in the control group was significantly higher than that of the intervention group (P < 0.05). There were no significant differences between hemoglobin and serum level of fibrinogen before and after surgery between the two groups. The postoperative hypotension showed no significant difference between the two groups.; Conclusions: The findings showed the effectiveness of fibrinogen in reducing acute hemorrhage. Considering the adverse consequences of hemorrhage and coagulopathy in patients undergoing surgery, using fibrinogen as prophylaxis is recommended in surgeries with high risks of hemorrhage. |
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| Contributed Indexing: | Keywords: Fibrinogen; Hemorrhage; Lumbar Surgery |
| Entry Date(s): | Date Created: 20190910 Latest Revision: 20220410 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC6712358 |
| DOI: | 10.5812/aapm.91199 |
| PMID: | 31497522 |
| Database: | MEDLINE |
Journal Article