Introduction:

Currently, publications on the use of tranexamic acid in different surgical specialties have increased; among them, orthopedic and trauma surgery.

Objective:

To validate the importance of tranexamic acid in elective and emergency surgery in orthopedics and traumatology.

Discussion:

Pubmed/Medline, SciELO, VHL, Scopus, Ebsco and Cochrane databases were reviewed, using the descriptors "tranexamic acid", "reduction of postoperative bleeding in orthopedics", "blood loss", "hemostatic agents", "transfusion risk" and "management of multiple trauma patients".

Conclusions:

Although some authors diverge regarding the adequate dose of tranexamic acid in orthopedics and traumatology, all conclude that this product controls bleeding in traumatic situations and in elective or emergency surgeries.

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