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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.

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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

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Chicago
ICMJE
MLA
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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.
Journal cover image

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