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Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder

Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies c...

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Detalles Bibliográficos
Autores principales: Li, Li, Johnsen, Jill M., Doan, Chau X., Bollag, Laurent A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283378/
https://www.ncbi.nlm.nih.gov/pubmed/30581553
http://dx.doi.org/10.12688/f1000research.16097.2
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author Li, Li
Johnsen, Jill M.
Doan, Chau X.
Bollag, Laurent A.
author_facet Li, Li
Johnsen, Jill M.
Doan, Chau X.
Bollag, Laurent A.
author_sort Li, Li
collection PubMed
description Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies can safely undergo neuraxial anesthesia once the specific factors are replenished. We present a patient who had a considerably increased risk of peripartum bleeding from an unspecified inherited bleeding disorder and was provided a successful neuraxial anesthetic without complications. We discuss the multidisciplinary approach among the surgeons, anesthesiologists, hematologist, and nursing staff to maximize patient safety and comfort.
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spelling pubmed-62833782018-12-20 Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder Li, Li Johnsen, Jill M. Doan, Chau X. Bollag, Laurent A. F1000Res Case Report Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies can safely undergo neuraxial anesthesia once the specific factors are replenished. We present a patient who had a considerably increased risk of peripartum bleeding from an unspecified inherited bleeding disorder and was provided a successful neuraxial anesthetic without complications. We discuss the multidisciplinary approach among the surgeons, anesthesiologists, hematologist, and nursing staff to maximize patient safety and comfort. F1000 Research Limited 2018-11-29 /pmc/articles/PMC6283378/ /pubmed/30581553 http://dx.doi.org/10.12688/f1000research.16097.2 Text en Copyright: © 2018 Li L et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Li, Li
Johnsen, Jill M.
Doan, Chau X.
Bollag, Laurent A.
Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder
title Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder
title_full Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder
title_fullStr Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder
title_full_unstemmed Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder
title_short Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder
title_sort case report: anesthetic management for cesarean section in a parturient with unspecified inherited bleeding disorder
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283378/
https://www.ncbi.nlm.nih.gov/pubmed/30581553
http://dx.doi.org/10.12688/f1000research.16097.2
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