title: A questionnaire-based survey investigating the current use of tranexamic acid in traumatic haemorrhage and elective hip and knee arthroplasty.
abstract: OBJECTIVE
  To record the current use of tranexamic acid during traumatic haemorrhage and elective arthroplasty of the hip and knee.
  
  
  METHODS
  A questionnaire-based postal survey.
  
  
  METHODS
  The questionnaire was sent to the 'anaesthetic lead' at all acute trusts in England, excluding centres for children, women's health, cancer and cardiac care.
  
  
  METHODS
  Ninety-nine (66%) centres replied to the questionnaire.
  
  
  METHODS
  Is tranexamic acid used as part of routine standardized treatment for traumatic haemorrhage and for elective hip and knee arthroplasty, and if so what dosage regime was administered?
  
  
  RESULTS
  Few trusts (31%) use tranexamic acid during traumatic haemorrhage, with various dosages used. Its use in hip and knee arthroplasty was also low (38%) with a diverse range of doses prescribed.
  
  
  CONCLUSIONS
  Despite many trials showing its efficacy and low risk of side effect, it is clear that its use is not part of standard practice in most centres. Further studies could clarify these concerns and provide a definitive dosing schedule improving patient care and saving lives.
authors: Queen Elizabeth Hospital, Gayton Road, King's Lynn, Norfolk PE30 4ET, UK.
authors: Ben
authors: B
authors: Young
authors: Queen Elizabeth Hospital, Gayton Road, King's Lynn, Norfolk PE30 4ET, UK.
authors: Parvez
authors: P
authors: Moondi
keywords: arthroplasty; enhanced recovery; tranexamic acid; traumatic haemorrhage