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Chapter: Clinical Cases in Anesthesia : Thrombocytopenia In Pregnancy

What are the concerns when placing an epidural catheter if the platelet count is low?

What are the concerns when placing an epidural catheter if the platelet count is low?

What are the concerns when placing an epidural catheter if the platelet count is low?

 

The concern when placing an epidural catheter in the face of a low platelet count is that either the needle or the catheter will puncture a blood vessel and the blood will not clot, leading to an epidural hematoma.

 

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Clinical Cases in Anesthesia : Thrombocytopenia In Pregnancy : What are the concerns when placing an epidural catheter if the platelet count is low? |

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Clinical Cases in Anesthesia : Thrombocytopenia In Pregnancy
What are the concerns when placing an epidural catheter if the platelet count is low?
Who is at risk for developing an epidural hematoma?
What is considered a low platelet count from the perspective of epidural catheter placement?
What is the expected platelet count during pregnancy?
Describe coagulation and the role that platelets play in the process
What are the causes of thrombocytopenia during pregnancy?
What tests are available to evaluate platelet function?
Describe the bleeding time test and its limitation
Describe the thromboelastogram and its limitations
Describe the platelet function analyzer and its limitations
What is the overall risk of epidural hematoma?
Describe the known cases in the literature of epidural hematoma in the parturient
What is the evidence that initiating an epidural anesthetic in a woman with a platelet count <100,000 mm?3 may be safe?
How do you evaluate the patient who has a platelet count <100,000 mm?3?
What are some practical recommendations regard-ing neuraxial anesthesia in the parturient who presents with a low platelet count?
What is low-molecular-weight heparin (LMWH) and how does it compare with and differ from standard heparin?
Why do some pregnant women take LMWH?
What has been the anesthetic experience with LMWH and neuraxial anesthesia?
What are some of the unique recommendations for anesthetizing the parturient taking LMWH?


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