Document Detail

Essential thrombocythemia and epidural analgesia in the parturient. Does thromboelastography help?
MedLine Citation:
PMID:  8956388     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: It is often considered that essential thrombocythemia contraindicates placement of an epidural catheter because of the danger of epidural hematoma. Thromboelastography offers a possible means of determining the appropriateness of epidural analgesia in a patient with this disorder. METHODS: A pregnant woman with essential thrombocythemia and a history of spontaneous abortions was evaluated by thromboelastography at 38 weeks of gestation to determine the safety of using epidural analgesia for labor pain management. On the basis of the thermoelastography findings, the patient was given epidural analgesia with bupivacaine and fentanyl during her labor. RESULTS: The patient experienced good pain relief, delivered a healthy infant vaginally, and suffered no complications. CONCLUSIONS: Thromboelastography may be a useful diagnostic test in determining the suitability of regional techniques for labor analgesia in parturients with essential thrombocythemia. However, success in one patient does not prove the general safety of this approach.
I Lowenwirt; P Dadic; V Krishnamurthy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia     Volume:  21     ISSN:  0146-521X     ISO Abbreviation:  Reg Anesth     Publication Date:    1996 Nov-Dec
Date Detail:
Created Date:  1997-03-19     Completed Date:  1997-03-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7707549     Medline TA:  Reg Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  525-8     Citation Subset:  IM    
Department of Anesthesiology, New York Hospital Medical Center of Queens, NY 11355-5095, USA.
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MeSH Terms
Analgesia, Epidural* / contraindications
Analgesia, Obstetrical*
Pregnancy Complications, Hematologic / blood*
Thrombocythemia, Essential / blood*

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