Neuraxial Anesthesia in Parturients with Low Platelet Counts.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 27159067.
- Also identified by DOI 10.1213/ANE.0000000000001312.
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Abstract
The obstetric anesthesiologist must consider the risk of spinal-epidural hematoma in patients with thrombocytopenia when choosing to provide neuraxial anesthesia. There are little data exploring this complication in the parturient. In this single-center retrospective study of 20,244 obstetric patients, the incidence of peripartum thrombocytopenia (platelet count <100,000/mm) was 1.8% (368 patients). Of these patients, 69% (256) received neuraxial anesthesia. No neuraxial hematoma occurred in any of our patients. The upper 95% confidence limit for spinal-epidural hematoma in patients who received neuraxial anesthesia with a platelet count of <100,000/mm was 1.2%.
Medical subject headings
- Anesthesia, Epidural
- Anesthesia, Obstetrical
- Hematoma, Epidural, Spinal
- Parturition
- Thrombocytopenia