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- Title
Understanding the TXA seizure connection.
- Authors
Schwinn, Debra A.; Mackensen, G. Burkhard; Brown, Emery N.
- Abstract
Transexamic acid (TXA) is an antifibrinolytic that has been used successfully to prevent blood loss during major surgery. However, as its usage has increased, there have been growing reports of postsurgical seizure events in cardiac surgery patients. In this issue of the JCI, Lecker et al. explore this connection and suggest that TXA-mediated inhibition of glycine receptors may underlie the effect. This finding prompted the authors to explore the preclinical efficacy of common anesthetics that function by reducing the TXA-mediated inhibition to prevent or modify postsurgical seizures.
- Subjects
ANTIFIBRINOLYTIC agents; SPASMS; BLOOD loss estimation; CARDIAC surgery; ANESTHETICS; DRUG efficacy
- Publication
Journal of Clinical Investigation, 2012, Vol 122, Issue 12, p15
- ISSN
0021-9738
- Publication type
Article
- DOI
10.1172/JCI66724