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Case Reports
. 2015 May;24(2):180-4.
doi: 10.1016/j.ijoa.2014.12.009. Epub 2015 Jan 8.

Anaphylaxis-induced hyperfibrinolysis in pregnancy

H T Truong  1 , R M Browning  2
Affiliations
Case Reports

Anaphylaxis-induced hyperfibrinolysis in pregnancy

H T Truong et al. Int J Obstet Anesth. 2015 May.

Abstract

Anaphylaxis during pregnancy is rare but life threatening to both mother and fetus. The anaesthetist may be unexpectedly faced with an obstructing airway, severe bronchospasm and cardiac arrest requiring perimortem caesarean delivery to relieve aortocaval compression. We present a case of anaphylaxis-induced hyperfibrinolysis, an infrequently discussed complication that could exacerbate postpartum haemorrhage and hamper resuscitative efforts.

Keywords: Anaesthesia; Anaphylaxis; Hyperfibrinolysis; Pregnancy; ROTEM; Thromboelastometry.

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