| Unrecognized thrombocytopenia and regional anesthesia in parturients: a retrospective review. | |
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MedLine Citation:
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PMID: 2726116 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Charts from 2929 consecutive parturients were reviewed. Twenty-four had platelet counts less than 100,000/microL in the peripartum period. Seventeen of the 24 had predisposing causes for thrombocytopenia, including preeclampsia (nine), immune thrombocytopenia purpura (two), infection (three), placenta accreta (one), abruption (one), and excessive surgical bleeding (one). Seven had asymptomatic thrombocytopenia of unknown origin. Fourteen of the 24 thrombocytopenic patients received regional anesthesia, and none had permanent sequelae. Based upon this retrospective review, peripartal thrombocytopenia (15,000-99,000/microL) did not increase the risk of neurologic complications after a regional anesthetic. There have been no reports in the literature of spinal or epidural hematomas in parturients after regional anesthesia, except for one patient with a spinal ependymoma. |
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Authors:
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K T Rasmus; R L Rottman; D M Kotelko; W C Wright; J J Stone; R M Rosenblatt |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 73 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1989 Jun |
Date Detail:
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Created Date: 1989-06-28 Completed Date: 1989-06-28 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 943-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Conduction* Anesthesia, Obstetrical* Delivery, Obstetric Female Humans Platelet Count Pregnancy Pregnancy Complications, Hematologic* / diagnosis Retrospective Studies Risk Factors Thrombocytopenia* / diagnosis |
| Comments/Corrections | |
Comment In:
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Obstet Gynecol. 1989 Dec;74(6):971-2
[PMID:
2586964
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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