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. 2016 Jul;123(1):165-7.
doi: 10.1213/ANE.0000000000001312.

Neuraxial Anesthesia in Parturients with Low Platelet Counts

Jeffrey Bernstein  1 , Betty Hua, Madelyn Kahana, Naum Shaparin, Simon Yu, Juan Davila-Velazquez
Affiliations

Neuraxial Anesthesia in Parturients with Low Platelet Counts

Jeffrey Bernstein et al. Anesth Analg. 2016 Jul.

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%.

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