| Title | Anesthetic management of a parturient with hyperhomocysteinemia. | | Author(s) | Luzardo GE, Karlnoski RA, Williams B, Mangar D, Camporesi EM | | Institution | Department of Anesthesiology and Critical Care Medicine, University of South Florida, Tampa, FL 33606, USA. | | Source | Anesth Analg 2008 Jun; 106(6):1833-6. | | MeSH | Adult
Anesthesia, Spinal
Anesthetics, Inhalation
Anticoagulants
Blood Coagulation
Blood Coagulation Tests
Blood Loss, Surgical
Cesarean Section
Drug Administration Schedule
Enoxaparin
Female
Heparin
Homocysteine
Humans
Hyperhomocysteinemia
Live Birth
Nitrous Oxide
Parturition
Pregnancy
Pregnancy Complications, Hematologic
| | Abstract | High plasma levels of homocysteine are associated with an increased risk for thromboembolic events. Neuraxial anesthesia techniques may be relatively contraindicated in anticoagulated patients, and nitrous oxide may exacerbate the condition by inhibiting the conversion of homocysteine to methionine. We describe the anesthetic implications and management of a patient with hyperhomocysteinemia undergoing an nonemergent cesarean delivery. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
Research Support, Non-U.S. Gov't
| | PubMed ID | 18499618 |
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