A conundrum: general or neuraxial anesthesia and the use of ROTEM.
Journal Article (Journal Article)
We report the use of rotational thromboelastometry (ROTEM) to guide the management of a 29-year-old primigravida at 36weeks' gestation with portal hypertension, esophageal varices, suspected pseudocholinesterase deficiency, and steroid refractory thrombocytopenia presenting to labor and delivery with worsening peripheral edema and new-onset hypertension. A multidisciplinary decision for preoperative platelet transfusion and cesarean delivery under spinal anesthesia was made, guided by ROTEM. A successful cesarean delivery was performed with no bleeding complications.
- Mauritz, AA; Strouch, ZY; Olufolabi, AJ
- August 2016
Volume / Issue
- 32 /
Start / End Page
- 159 - 161
Electronic International Standard Serial Number (EISSN)
Digital Object Identifier (DOI)
- United States