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Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report
Journal article   Open access

Thromboelastography as a point-of-care guide for spinal anesthesia in an eclamptic patient: a case report

Vendhan Ramanujam, Usama Iqbal and Mary Im
Brazilian journal of anesthesiology (Elsevier), v 71(3), pp 278-280
01 May 2021
DOI: https://doi.org/10.1016/j.bjane.2020.10.011
PMID: 33934879
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.bjane.2020.10.011View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open

Abstract

Anesthesiology Life Sciences & Biomedicine Science & Technology
Neuraxial anesthesia is a standard of care during parturition. Since bleeding diathesis is a contraindication to neuraxial techniques, data about its safe administration in a thrombocytopenic milieu is limited and evolving. Thrombocytopenia associated with preeclampsia or eclampsia and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome leads to significant maternal and neonatal morbidity. We present a case of uneventful spinal anesthesia for urgent cesarean section in an eclamptic patient with a precipitous drop in platelet count from 124,000 to 97,000 per cubic millimeter under thromboelastography (TEG) guidance. (c) 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/4.0/).

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Collaboration types
Domestic collaboration
Web of Science research areas
Anesthesiology
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