Document Detail

Unrecognized thrombocytopenia and regional anesthesia in parturients: a retrospective review.
MedLine Citation:
PMID:  2726116     Owner:  NLM     Status:  MEDLINE    
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.
K T Rasmus; R L Rottman; D M Kotelko; W C Wright; J J Stone; R M Rosenblatt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  73     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-06-28     Completed Date:  1989-06-28     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  943-6     Citation Subset:  AIM; IM    
Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California.
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MeSH Terms
Anesthesia, Conduction*
Anesthesia, Obstetrical*
Delivery, Obstetric
Platelet Count
Pregnancy Complications, Hematologic* / diagnosis
Retrospective Studies
Risk Factors
Thrombocytopenia* / diagnosis
Comment In:
Obstet Gynecol. 1989 Dec;74(6):971-2   [PMID:  2586964 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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