Anesthetic management of a parturient with hyperhomocysteinemia.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 18499618.
- Also identified by DOI 10.1213/ane.0b013e3181732655.
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Abstract
High plasma levels of homocysteine are associated with an increased risk for thromboembolic events. Neuraxial anesthesia techniques may be relatively contraindicated in anticoagulated patients, and nitrous oxide may exacerbate the condition by inhibiting the conversion of homocysteine to methionine. We describe the anesthetic implications and management of a patient with hyperhomocysteinemia undergoing an nonemergent cesarean delivery.
Medical subject headings
- Anesthesia, Spinal
- Anticoagulants
- Blood Coagulation
- Cesarean Section
- Homocysteine
- Hyperhomocysteinemia
- Parturition
- Pregnancy Complications, Hematologic