ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022
Accidental administration of tranexamic acid into the epidural space: a case report.
Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Local anesthetic overdose during nurse-led epidural analgesia due to occlusion alarm misinterpretation: a case report and literature review.Frontiers in medicine · 2026Article
- Special announcement: Guidelines to the Practice of Anesthesia-Revised Edition 2024.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Preventing neuraxial administration of tranexamic acid.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- In reply: Accidental infusion of tranexamic acid via a thoracic epidural catheter.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- One week in the life of my anesthetic cart's medication drawer or: drug errors-what (else) will it take to change the system?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Accidental infusion of tranexamic acid via a thoracic epidural catheter.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTranexamic acid administration into the epidural space has not been previously reported. We describe our experience managing and investigating a drug error involving incorrect route of tranexamic acid administration through an epidural catheter. CLINICAL FEATURES: A syringe containing tranexamic acid, intended for intravenous bolus and infusion intraoperatively using microbore tubing, was inadvertently attached to an epidural catheter via the Luer-type connector on the microbore tubing and epidural adapter.
conclusionsSaline lavage of the epidural space may be considered if tranexamic acid has been administered into the epidural space. Early multidisciplinary team involvement combined with repeated postevent neurologic monitoring is recommended to guide therapy. Adoption of neuraxial route-specific connectors, when available, may be warranted to reduce Luer-type misconnections.
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Registered trials
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