Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report

Neuraxial anesthesia is a standard of care during parturition. Since bleeding diathesis is a contraindication to neuraxial techniques, data about its safe administration in a thrombocytopenic milieu is limited and evolving. Thrombocytopenia associated with preeclampsia or eclampsia and hemolysis, el...

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Autores principales: Ramanujam, Vendhan, Iqbal, Usama, Im, Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373461/
https://www.ncbi.nlm.nih.gov/pubmed/33934879
http://dx.doi.org/10.1016/j.bjane.2020.10.011
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author Ramanujam, Vendhan
Iqbal, Usama
Im, Mary
author_facet Ramanujam, Vendhan
Iqbal, Usama
Im, Mary
author_sort Ramanujam, Vendhan
collection PubMed
description Neuraxial anesthesia is a standard of care during parturition. Since bleeding diathesis is a contraindication to neuraxial techniques, data about its safe administration in a thrombocytopenic milieu is limited and evolving. Thrombocytopenia associated with preeclampsia or eclampsia and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome leads to significant maternal and neonatal morbidity. We present a case of uneventful spinal anesthesia for urgent cesarean section in an eclamptic patient with a precipitous drop in platelet count from 124,000 to 97,000 per cubic millimeter under thromboelastography (TEG) guidance.
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spelling pubmed-93734612022-08-15 Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report Ramanujam, Vendhan Iqbal, Usama Im, Mary Braz J Anesthesiol Case Reports Neuraxial anesthesia is a standard of care during parturition. Since bleeding diathesis is a contraindication to neuraxial techniques, data about its safe administration in a thrombocytopenic milieu is limited and evolving. Thrombocytopenia associated with preeclampsia or eclampsia and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome leads to significant maternal and neonatal morbidity. We present a case of uneventful spinal anesthesia for urgent cesarean section in an eclamptic patient with a precipitous drop in platelet count from 124,000 to 97,000 per cubic millimeter under thromboelastography (TEG) guidance. Elsevier 2021-02-03 /pmc/articles/PMC9373461/ /pubmed/33934879 http://dx.doi.org/10.1016/j.bjane.2020.10.011 Text en © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Reports
Ramanujam, Vendhan
Iqbal, Usama
Im, Mary
Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
title Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
title_full Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
title_fullStr Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
title_full_unstemmed Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
title_short Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
title_sort thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373461/
https://www.ncbi.nlm.nih.gov/pubmed/33934879
http://dx.doi.org/10.1016/j.bjane.2020.10.011
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