Understanding the influence of transfusion and blood loss on tranexamic acid concentration in scoliosis surgery with blood loss

Sustaining TXA concentrations >10 μg/mL is essential for antifibrinolytic efficacy and haemostatic outcomes. The dilutional impact of PRBC transfusion underscores the need for intraoperative dose adjustment. Optimizing TXA dosing requires understanding pharmacokinetics and patient variability.

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Publication Details

Journal
British Journal of Clinical Pharmacology
Published
2025-12-05
DOI
https://doi.org/10.1002/bcp.70402
Primary Topic
Blood transfusion and management
Type
article
Field-Weighted Citation Impact
0.00

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article

Understanding the influence of transfusion and blood loss on tranexamic acid concentration in scoliosis surgery with blood loss

Marcela A. Segundo, Paula Sá, Eugénia Cruz, Luísa Barreiros et al.
British Journal of Clinical Pharmacology
Blood transfusion and management
article

Understanding the influence of transfusion and blood loss on tranexamic acid concentration in scoliosis surgery with blood loss

Marcela A. Segundo, Paula Sá, Eugénia Cruz, Luísa Barreiros, Sibylle Langenecker
article en

Abstract

Sustaining TXA concentrations >10 μg/mL is essential for antifibrinolytic efficacy and haemostatic outcomes. The dilutional impact of PRBC transfusion underscores the need for intraoperative dose adjustment. Optimizing TXA dosing requires understanding pharmacokinetics and patient variability.

British Journal of Clinical Pharmacology
Sigmund Freud Privatuniversität Wien (AT), Instituto Superior de Contabilidade e Administracao do Porto (PT), Universidade do Porto (PT), Hospital de Santo António (PT), Rede de Química e Tecnologia (PT), Polytechnic Institute of Porto (PT)
Universidade do Porto, Fundação para a Ciência e a Tecnologia
Openalex Percentile: Top 61%
Blood transfusion and management
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