Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Meta Analysis
Prophylactic tranexamic acid in Cesarean delivery: an updated meta-analysis with a trial sequential analysis.
Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide. Although several studies on the prophylactic use of tranexamic acid (TXA) in parturients undergoing Cesarean delivery have been published, conflicting results raise questions regarding its use. Thus, we aimed to investigate the safety and efficacy of PPH prophylaxis with TXA. ⋯ PROSPERO (CRD42023422188); first submitted 27 April 2023.
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Randomized Controlled Trial
Inhaled iloprost in off-pump coronary artery bypass surgery: a randomized controlled trial.
Mechanical cardiac constraint during off-pump coronary artery bypass surgery (OPCAB) causes right ventricle (RV) compression and increased pulmonary artery pressure (PAP), which may further compromise RV dysfunction. We aimed to assess the effect of inhaled iloprost, a potent selective pulmonary vasodilator, on the cardiac index (CI) during mechanical constraint. The secondary aim was to determine the resultant changes in the hemodynamic and respiratory parameters. ⋯ Inhaled iloprost showed a neutral effect on hemodynamic parameters, including the CI and pulmonary vascular resistance index, during OPCAB.