The aim of this clinical trial is to evaluate the effect of administering low-dose epinephrine and tranexamic acid on perioperative blood loss, thromboembolic complications, and hospitalization duration in patients undergoing knee joint arthroplasty. Also aim to evaluate the effect of administering low-dose epinephrine and tranexamic acid on perioperative thromboembolic complications, and hospitalization duration
Patients will be randomly divided into two groups: one receiving intravenous low-dose epinephrine and tranexamic acid, while the other will receive TXA alone as the control. Randomization to be done using a computer-generated table. The study will be done a superiority clinical trial. with an estimated 24 hour blood loss of 300 ml, with standard deviation of 150 ml. a power of 80% and alpha 5%, an estimated sample size of 80 is needed to detect a difference.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
low-dose epinephrine and tranexamic acid
Tranexamic Acid
King Abdulaziz Medical City, Ministry of National Guard - Health Affairs
Riyadh, Riyadh Region, Saudi Arabia
RECRUITINGPerioperative blood loss
Calculated 24 h blood loss in mL, Hidden blood loss in mL, Hemoglobin levels in g/dL, Hematocrit levels as a percentage, Platelets count in cells/µL.
Time frame: Daily, till post-operative day 5
Thromboembolic complications
Time frame: Daily, till post-operative day 5
Hospitalization duration
Time frame: Daily, till post-operative day 5
Drug side effects (epinephrine + tranexamic acid)
Time frame: Daily, till post-operative day 5
Complications
VTE, SSI, UTI, AKI, Cardiac Arrhythmias, Stroke
Time frame: Daily, till post-operative day 5
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.