Intensive Care Unit, Pediatric, Pulmonary Hemorrhage, Tranexamic Acid
Conditions
Brief summary
This study aimed to detect the impact of inhaled Tranexamic acid® in pulmonary hemorrhage in pediatric intensive care unit.
Detailed description
Pulmonary hemorrhage, often manifested as hemoptysis, can be a severe and life-threatening condition. Tranexamic acid (TXA)® is a lysine analog that prevents the conversion of plasminogen to plasmin and inhibits plasmin's binding to fibrin, stabilizing the fibrin matrix and reducing bleeding.
Interventions
Patients received inhaled or endotracheally instilled Tranexamic acid (TXA) in addition to conventional therapy.
Patients received conventional systemic Tranexamic acid (TXA) alone.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age from 1 to 216 months. * Both sexes. * Patients with pulmonary hemorrhage.
Exclusion criteria
* Disseminated Intravascular Coagulation (DIC). * Laryngeal oedema. * Laryngeal web. * Contraindications to tranexamic acid include arterial thrombosis, pre-existing coagulopathy, or oral anticoagulant treatment. * Patients with traumatic lesions such as hemothorax.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cessation of pulmonary hemorrhage | 48 hours of starting inhaled tranexamic acid | The cessation of pulmonary hemorrhage within 48 hours of starting inhaled tranexamic acid was recorded. |
| Incidence of adverse effects | 48 hours of starting inhaled tranexamic acid | Incidence of adverse effects was recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| In-hospital mortality | 48 hours of starting inhaled tranexamic acid | Incidence of in-hospital mortality was recorded. |
| Length of hospital stay | Till the discharge from the hospital (Up to 2 weeks) | Length of hospital stay was recorded from the admission till the discharge from the hospital. |
Countries
Egypt