Home | | Clinical Cases in Anesthesia | How do you evaluate the patient who has a platelet count <100,000 mm−3?

Chapter: Clinical Cases in Anesthesia : Thrombocytopenia In Pregnancy

How do you evaluate the patient who has a platelet count <100,000 mm−3?

The history and physical examination are key components when deciding whether to proceed with a regional anesthetic in the parturient with thrombocytopenia.

How do you evaluate the patient who has a platelet count <100,000 mm3?

 

The history and physical examination are key components when deciding whether to proceed with a regional anesthetic in the parturient with thrombocytopenia. If there is any history of easy bruising or the patient has evidence of petechiae or ecchymosis, regional anesthesia should not be offered. If the patient has no bleeding history, it is our prac-tice to obtain at least one additional platelet count as close in time to epidural placement as possible to assure that it not decreasing further. This is especially important in disease processes that are dynamic, such as preeclampsia. We do not obtain any tests of platelet function nor do we have any absolute lower limit for the platelet count. A patient with a stable platelet count of 50,000 mm3 is probably at lower risk of developing an epidural hematoma than one with a platelet count of 75,000 mm3 that has been rapidly decreasing.

 

Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail
Clinical Cases in Anesthesia : Thrombocytopenia In Pregnancy : How do you evaluate the patient who has a platelet count <100,000 mm−3? |

Related Topics

Clinical Cases in Anesthesia : Thrombocytopenia In Pregnancy


Privacy Policy, Terms and Conditions, DMCA Policy and Compliant

Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.