Quote:
Originally Posted by gwalker
I am convinced of the efficacy of tranexamic acid in reducing blood loss by 50% after knee replacement. The main resistance to its use seems to be a worry about the risk of increasing DVT rates.
I heard that this approagh is used routinely in Scandinavian countries.
Is this true?
Does anywhere else use tranexamic acid routinely?
Are DVT rates increased?
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Many here in scandinavia use tranexamic acid in knee replecement surgery. There are no evidence of an increased risk for thromboembolic event. How effective tranexamic acid would be in reducing blood loss depends on severel things like; timing, dose and the whole hemostatic programe that you apply to your patient. In knee replecement tranexamic acid is one of some simple low cost interventions that will in total make a big impact on blood loss.
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