Anesthesia strategy for factor X deficiency coagulopathy: case report

Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenit...

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Autores principales: Ferreira, Carla Isabel, Costa, Fábio, Arantes, Ana Rita, Horta, Graça, Soares, Elsa, Félix, Filipa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660004/
https://www.ncbi.nlm.nih.gov/pubmed/34800494
http://dx.doi.org/10.1016/j.bjane.2021.08.024
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author Ferreira, Carla Isabel
Costa, Fábio
Arantes, Ana Rita
Horta, Graça
Soares, Elsa
Félix, Filipa
author_facet Ferreira, Carla Isabel
Costa, Fábio
Arantes, Ana Rita
Horta, Graça
Soares, Elsa
Félix, Filipa
author_sort Ferreira, Carla Isabel
collection PubMed
description Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenital Factor X deficiency. Physical examination and lab tests were normal, except for Prothrombin Time (PT) 22.1s (VR: 8–14s), International Normalized Ratio (INR) 1.99 (VR: 0.8–1.2) and Activated Partial Thromboplastin Time (aPTT) 41.4s (VR: 25–37s). We concluded that a history of bleeding should always be investigated, along with a pre-anesthetic coagulation study.
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spelling pubmed-96600042022-11-15 Anesthesia strategy for factor X deficiency coagulopathy: case report Ferreira, Carla Isabel Costa, Fábio Arantes, Ana Rita Horta, Graça Soares, Elsa Félix, Filipa Braz J Anesthesiol Case Report Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenital Factor X deficiency. Physical examination and lab tests were normal, except for Prothrombin Time (PT) 22.1s (VR: 8–14s), International Normalized Ratio (INR) 1.99 (VR: 0.8–1.2) and Activated Partial Thromboplastin Time (aPTT) 41.4s (VR: 25–37s). We concluded that a history of bleeding should always be investigated, along with a pre-anesthetic coagulation study. Elsevier 2021-11-17 /pmc/articles/PMC9660004/ /pubmed/34800494 http://dx.doi.org/10.1016/j.bjane.2021.08.024 Text en 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 Report
Ferreira, Carla Isabel
Costa, Fábio
Arantes, Ana Rita
Horta, Graça
Soares, Elsa
Félix, Filipa
Anesthesia strategy for factor X deficiency coagulopathy: case report
title Anesthesia strategy for factor X deficiency coagulopathy: case report
title_full Anesthesia strategy for factor X deficiency coagulopathy: case report
title_fullStr Anesthesia strategy for factor X deficiency coagulopathy: case report
title_full_unstemmed Anesthesia strategy for factor X deficiency coagulopathy: case report
title_short Anesthesia strategy for factor X deficiency coagulopathy: case report
title_sort anesthesia strategy for factor x deficiency coagulopathy: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660004/
https://www.ncbi.nlm.nih.gov/pubmed/34800494
http://dx.doi.org/10.1016/j.bjane.2021.08.024
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