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Prophylactic haemostatic treatment to control iatrogenic bleeding during endobronchial biopsy (PROTECT study): a multicentre, randomised, single-blind, placebo-controlled study - PubMed

2 days ago
  • #clinical trial
  • #prophylactic haemostasis
  • #endobronchial biopsy
  • The PROTECT study investigated prophylactic haemostatic treatment for controlling iatrogenic bleeding during endobronchial biopsy.
  • 462 participants were randomized into three groups: adrenaline, ice-cold saline, or saline (placebo).
  • Prophylactic haemostasis did not statistically improve bleeding severity or visual analogue scale outcomes overall.
  • A subgroup of patients aged <65 years showed a trend toward reduced bleeding with ice-cold saline (RR 0.90, p=0.04).
  • The study confirmed the safety of prophylactic haemostasis but found no significant overall benefit.
  • Further research is needed to explore the potential benefits in younger patients.