| Title | Neuraxial Hematoma and Paralysis After Enoxaparin Administration 3 Days After Attempted Spinal Anesthesia for Total Knee Arthroplasty. |
| Author(s) | Bindelglass DF, Rosenblum DS |
| Institution | The Joint Reconstruction Center at Bridgeport Hospital, Bridgeport, Connecticut. |
| Source | J Arthroplasty 2009 Oct 16. |
| Abstract | A 69-year-old man underwent a total knee arthroplasty. Spinal anesthesia was attempted, but when unsuccessful, a general anesthesia was given. The surgery and rehabilitation were uneventful until postoperative day 3 when a pulmonary embolism was diagnosed. He was placed on enoxaparin at a therapeutic dose that begun more than 72 hours after his attempted spinal. He developed a spinal hematoma and was paralyzed. The literature has no recommendations for using enoxaparin at therapeutic doses after regional anesthesia. There is no previous report to suggest that a patient 72 hours after surgery is still at risk from a neuraxial hematoma. |
| Language | ENG |
| Pub Type(s) | JOURNAL ARTICLE
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| PubMed ID | 19837550 |
