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.

Full Text

Duke Authors

Cited Authors

  • Mauritz, AA; Strouch, ZY; Olufolabi, AJ

Published Date

  • August 2016

Published In

Volume / Issue

  • 32 /

Start / End Page

  • 159 - 161

PubMed ID

  • 27290967

Electronic International Standard Serial Number (EISSN)

  • 1873-4529

Digital Object Identifier (DOI)

  • 10.1016/j.jclinane.2016.03.002


  • eng

Conference Location

  • United States