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High-dose TXA more effective than low-dose TXA and placebo for reducing blood loss in PLIF

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Ace Report Cover
March 2018

High-dose TXA more effective than low-dose TXA and placebo for reducing blood loss in PLIF

Vol: 7| Issue: 3| Number:2| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:N/A

The effectiveness of low-dose and high-dose tranexamic acid in posterior lumbar interbody fusion: a double-blinded, placebo-controlled randomized study

Eur Spine J. 2017 Nov;26(11):2851-2857

Contributing Authors:
HS Kim HJ Kim KT Kim CK Kim YC Kim HS Juh SJ Hong HWD Hey

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Synopsis

72 patients scheduled for posterior lumbar interbody fusion were randomized to either high-dose tranexamic acid, low-dose tranexamic acid, or placebo saline. All patients were treated with an initial bolus prior to incision, followed by continuous infusion for the next 5 hours. Main outcome measures included intraoperative, postoperative, and total blood loss, as well as transfusion rate. Measures...

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