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Case Reports
. 2006 Feb;96(2):262-5.
doi: 10.1093/bja/aei297. Epub 2005 Dec 16.

Epidural haematoma after a combined spinal-epidural anaesthetic in a patient treated with clopidogrel and dalteparin

N L K Tam  1 , C Pac-Soo, P M Pretorius
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Free article
Case Reports

Epidural haematoma after a combined spinal-epidural anaesthetic in a patient treated with clopidogrel and dalteparin

N L K Tam et al. Br J Anaesth. 2006 Feb.
Free article

Abstract

We report a case of a spinal-epidural haematoma occurring in a patient after a combined spinal-epidural anaesthetic. She had been taking clopidogrel and had received perioperative dalteparin for thromboprophylaxis. Despite adhering to standard guidelines concerning administration of low molecular weight heparin perioperatively and stopping the clopidogrel 7 days before the anaesthetic, the patient developed an epidural haematoma.

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