The Effect of Desmopressin Intraoperatively on Hemorrhage During the Rhinoplasty Surgery Publisher



Youssefy A¹ ; Ghabasiah AH² ; Heidari F² ; Alvandi S² ; Bastaninezhad S² ; Hosseini J² ; Tajdini A² Show Affiliations
Source: Indian Journal of Otolaryngology and Head and Neck Surgery Published:2022

Abstract

This clinical trial discusses the efficacy of premedication with desmopressin in the management of bleeding and clears the surgical field during rhinoplasty surgery. This study is a randomized, double-blinded placebo-control clinical trial. Seventy patients were enrolled in this study and divided into two equal intervention-control groups. Thirty minutes before surgery, the intervention group received 500 ml of normal saline containing 0.1 μg/kg desmopressin and, the control group received 500 ml of normal saline. According to the surgeon’s opinion, the local distribution of bleeding was dramatically different in both groups. While DDAVP receivers had grade 1 or 2 bleeding (according to the FROMME-BOEZAART grading score), the control group had grade 3 or 4 bleeding, and this difference was statistically meaningful. It seems that intravenous DDAVP can reduce bleeding and clear the surgical field during rhinoplasty surgery, but further studies are needed to determine the exact role and dose of the DDAVP. © 2022, Association of Otolaryngologists of India.