Michael R. Cohen ScD, MS, RPH

August 2012 
Volume 42  Number 8
Pages 10 - 10
  PDF Version Available!

A hospital pharmacist got a scare when he read a surgeon's discharge note that read in part, "There was some bleeding in the pelvis that had been irrigated, and Arixtra was placed in the pelvis for homeostasis." Arixtra (fondaparinux sodium) is a factor Xa inhibitor (anticoagulant). Reviewing the medical record, the pharmacist was relieved to find that no fondaparinux had been prescribed or administered to this patient.When the pharmacist received a call for "Arixtra" to control a different patient's bleeding, he solved the mystery: The clinicians in these cases were referring to Arista AH, a sterile, absorbable hemostatic powder (see photo). According to product labeling, "Arista is used in surgical procedures (except neurological, ophthalmic, and urological) as an adjunctive hemostatic device to assist when control of capillary, venous, and arteriolar bleeding by pressure, ligature, and other conventional procedures is ineffective or impractical."The FDA approved Arista AH as a device

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