Adding to the Denominator : A Case Report of Neuraxial Anesthesia for Cesarean Delivery in the Setting of Hemolysis, Elevated Liver Enzyme, Low Platelet, Thrombocytopenia, and Pulmonary Hypertension
The acceptable platelet count for the safe provision of neuraxial anesthesia in obstetric patients is unknown. Comorbidities may sway a provider to perform neuraxial anesthesia, despite thrombocytopenia, as the putative risk of spinal-epidural hematoma may not outweigh the risks associated with general anesthesia. The case of a 22-year-old nulliparous woman undergoing a cesarean delivery with a new diagnosis of pulmonary hypertension and right heart failure, compounded with thrombocytopenia and possible Hemolysis, Elevated Liver Enzyme, and Low Platelet (HELLP) syndrome, is presented. Risks and benefits of general versus neuraxial anesthesia in this specific setting are reviewed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
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| Enthalten in: |
A&A practice - 14(2020), 5 vom: 01. März, Seite 144-148 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Meng, Marie-Louise [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 21.10.2020 Date Revised 11.01.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.1213/XAA.0000000000001168 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM305740768 |
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| 245 | 1 | 0 | |a Adding to the Denominator |b A Case Report of Neuraxial Anesthesia for Cesarean Delivery in the Setting of Hemolysis, Elevated Liver Enzyme, Low Platelet, Thrombocytopenia, and Pulmonary Hypertension |
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| 500 | |a Date Revised 11.01.2021 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a The acceptable platelet count for the safe provision of neuraxial anesthesia in obstetric patients is unknown. Comorbidities may sway a provider to perform neuraxial anesthesia, despite thrombocytopenia, as the putative risk of spinal-epidural hematoma may not outweigh the risks associated with general anesthesia. The case of a 22-year-old nulliparous woman undergoing a cesarean delivery with a new diagnosis of pulmonary hypertension and right heart failure, compounded with thrombocytopenia and possible Hemolysis, Elevated Liver Enzyme, and Low Platelet (HELLP) syndrome, is presented. Risks and benefits of general versus neuraxial anesthesia in this specific setting are reviewed | ||
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| 700 | 1 | |a Emeruwa, Ukachi N |e verfasserin |4 aut | |
| 700 | 1 | |a Mourad, Mirella |e verfasserin |4 aut | |
| 700 | 1 | |a Haythe, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Landau, Ruth |e verfasserin |4 aut | |
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