A conundrum: general or neuraxial anesthesia and the use of ROTEM.
Publication
, Journal Article
Mauritz, AA; Strouch, ZY; Olufolabi, AJ
Published in: J Clin Anesth
August 2016
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.
Duke Scholars
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Published In
J Clin Anesth
DOI
EISSN
1873-4529
Publication Date
August 2016
Volume
32
Start / End Page
159 / 161
Location
United States
Related Subject Headings
- Thrombocytopenia
- Thrombelastography
- Pregnancy
- Humans
- Female
- Cesarean Section
- Anesthesiology
- Anesthesia, Spinal
- Anesthesia, Obstetrical
- Anesthesia, General
Citation
APA
Chicago
ICMJE
MLA
NLM
Mauritz, A. A., Strouch, Z. Y., & Olufolabi, A. J. (2016). A conundrum: general or neuraxial anesthesia and the use of ROTEM. J Clin Anesth, 32, 159–161. https://doi.org/10.1016/j.jclinane.2016.03.002
Mauritz, A. A., Z. Y. Strouch, and A. J. Olufolabi. “A conundrum: general or neuraxial anesthesia and the use of ROTEM.” J Clin Anesth 32 (August 2016): 159–61. https://doi.org/10.1016/j.jclinane.2016.03.002.
Mauritz AA, Strouch ZY, Olufolabi AJ. A conundrum: general or neuraxial anesthesia and the use of ROTEM. J Clin Anesth. 2016 Aug;32:159–61.
Mauritz, A. A., et al. “A conundrum: general or neuraxial anesthesia and the use of ROTEM.” J Clin Anesth, vol. 32, Aug. 2016, pp. 159–61. Pubmed, doi:10.1016/j.jclinane.2016.03.002.
Mauritz AA, Strouch ZY, Olufolabi AJ. A conundrum: general or neuraxial anesthesia and the use of ROTEM. J Clin Anesth. 2016 Aug;32:159–161.
Published In
J Clin Anesth
DOI
EISSN
1873-4529
Publication Date
August 2016
Volume
32
Start / End Page
159 / 161
Location
United States
Related Subject Headings
- Thrombocytopenia
- Thrombelastography
- Pregnancy
- Humans
- Female
- Cesarean Section
- Anesthesiology
- Anesthesia, Spinal
- Anesthesia, Obstetrical
- Anesthesia, General