Neuraxial Anesthesia in Parturients with Low Platelet Counts

Jeffrey Bernstein; Betty Hua; Madelyn Kahana; Naum Shaparin; Simon Yu; Juan Davila-Velazquez

doi:10.1213/ANE.0000000000001312

Neuraxial Anesthesia in Parturients with Low Platelet Counts

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

Anesthesiology

Research output: Contribution to journal › Article › peer-review

36 Scopus citations

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/mm³) 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/mm³ was 1.2%.

Original language	English (US)
Pages (from-to)	165-167
Number of pages	3
Journal	Anesthesia and analgesia
Volume	123
Issue number	1
DOIs	https://doi.org/10.1213/ANE.0000000000001312
State	Published - Jul 1 2016

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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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/mm3) 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/mm3 was 1.2%.",

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AU - Hua, Betty

AU - Kahana, Madelyn

AU - Shaparin, Naum

AU - Yu, Simon

AU - Davila-Velazquez, Juan

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AB - 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/mm3) 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/mm3 was 1.2%.

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Neuraxial Anesthesia in Parturients with Low Platelet Counts

Abstract

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