Accidental spinal analgesia in the presence of a lumboperitoneal shunt in an obese parturient receiving enoxaparin therapy.

Kaul, Bupesh; Vallejo, Manuel C; Ramanathan, Sivam; Mandell, Gordon L; Krohner, Robert G · Anesth Analg · 2002

case_report · Level V

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Abstract

A single shot spinal anesthetic is not practical in a patient with a lumboperitoneal shunt. Neuraxial block and a blood patch (if necessary) may be performed in a patient on enoxaparin therapy if current guidelines for managing patients on anticoagulant therapy are followed.

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