Abstract
A 55-year old man presents for elective L3-L5 lumbar laminectomy with decompression. His medical history consists of hypertension, well controlled with amlodipine. In addition, he suffers from chronic back pain due to lumbar radiculopathy and spinal stenosis. His laboratory work, including electrolytes, complete blood count, and coagulation factors, is normal. The surgeon is asking you to give the patient tranexamic acid (TXA) to reduce intraoperative bleeding. You wonder whether the benefits of TXA outweigh its downsides.
Original language | English (US) |
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Title of host publication | You're Wrong, I'm Right: Dueling Authors Reexamine Classic Teachings in Anesthesia |
Publisher | Springer International Publishing |
Pages | 193-195 |
Number of pages | 3 |
ISBN (Electronic) | 9783319431697 |
ISBN (Print) | 9783319431673 |
DOIs | |
State | Published - Jan 1 2016 |
Keywords
- Fibrin
- Hemorrhage
- Pro-hemostatic therapy
- Spine surgery
- Tranexamic acid (TXA)
ASJC Scopus subject areas
- Medicine(all)