Comparison of Topical and Intravenous Tranexamic Acid for Total Knee Replacement: A Randomized Double-Blinded Controlled Study of Effects on Tranexamic Acid Levels and Thrombogenic and Inflammatory Marker Levels.

Author: BaakliniLila R, CrossJustin R, FieldsKara G, Jules-ElyseeKethy M, MaymanDavid J, McLawhornAlexander S, PickardAmanda J, QinWeiGe, SculcoThomas P, SuEdwin P, TsengAudrey

Paper Details 
Original Abstract of the Article :
Tranexamic acid (TXA) is an antifibrinolytic drug. Topical administration of TXA during total knee arthroplasty (TKA) is favored for certain patients because of concerns about thrombotic complications, despite a lack of supporting literature. We compared local and systemic levels of thrombogenic mar...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406146/

データ提供:米国国立医学図書館(NLM)

Topical vs. Intravenous Tranexamic Acid: A Desert of Controversy in Total Knee Replacement

The field of orthopedic surgery is a vast desert where researchers constantly seek to optimize surgical procedures and minimize complications. This study, much like a dedicated explorer searching for the most effective path, compares the effects of topical and intravenous (IV) tranexamic acid (TXA) in total knee replacement (TKA) surgery. The research employs a randomized double-blinded controlled study design, measuring thrombogenic and inflammatory marker levels, as well as TXA levels, in patients receiving either topical or IV TXA. The authors aim to clarify the optimal mode of TXA administration during TKA, addressing the debate surrounding the potential benefits and risks of each approach. The study's findings provide valuable insights into the pharmacokinetic profiles of TXA after topical and IV administration, informing the decision-making process for clinicians performing TKA surgery.

A Tale of Two Methods: Topical vs. Intravenous Tranexamic Acid in Total Knee Replacement

This study investigates the effectiveness of both topical and IV TXA in reducing blood loss and improving outcomes during TKA. The research provides a comprehensive comparison of the pharmacokinetic profiles of TXA after both routes of administration. The study's findings, much like a map of a complex desert landscape, offer valuable insights for clinicians navigating the decision-making process regarding TXA administration during TKA.

Navigating the Desert of Surgical Choices: Optimizing Outcomes for Total Knee Replacement

The desert provides a valuable analogy for understanding the complexities of orthopedic surgery. Just as a traveler must carefully plan their journey through a desert, surgeons must consider a variety of factors when performing TKA surgery. This study highlights the importance of understanding the nuances of TXA administration, taking into account both the potential benefits and risks of each approach. By considering the individual needs of each patient and utilizing evidence-based practices, surgeons can optimize outcomes and improve the overall experience for their patients undergoing TKA surgery.

Dr. Camel's Conclusion

This research, like a well-equipped caravan traversing the desert of orthopedic surgery, offers valuable insights into the optimal mode of TXA administration during TKA. The study provides a comprehensive comparison of topical and IV TXA, offering a roadmap for clinicians to make informed decisions based on patient-specific factors. This work emphasizes the importance of evidence-based practices in optimizing outcomes and ensuring the best possible care for patients undergoing TKA surgery.

Date :
  1. Date Completed 2020-04-14
  2. Date Revised 2023-09-01
Further Info :

Pubmed ID

31800425

DOI: Digital Object Identifier

PMC7406146

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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