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Neuraxial Anesthesia in Parturients with Low Platelet Counts.
Anesth Analg. 2016 07; 123(1):165-7.A&A

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/mm) 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/mm was 1.2%.

Authors+Show Affiliations

From the *Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York; and †Department of Anesthesiology, Stony Brook University Medical Center, Stony Brook, New York.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27159067

Citation

Bernstein, Jeffrey, et al. "Neuraxial Anesthesia in Parturients With Low Platelet Counts." Anesthesia and Analgesia, vol. 123, no. 1, 2016, pp. 165-7.
Bernstein J, Hua B, Kahana M, et al. Neuraxial Anesthesia in Parturients with Low Platelet Counts. Anesth Analg. 2016;123(1):165-7.
Bernstein, J., Hua, B., Kahana, M., Shaparin, N., Yu, S., & Davila-Velazquez, J. (2016). Neuraxial Anesthesia in Parturients with Low Platelet Counts. Anesthesia and Analgesia, 123(1), 165-7. https://doi.org/10.1213/ANE.0000000000001312
Bernstein J, et al. Neuraxial Anesthesia in Parturients With Low Platelet Counts. Anesth Analg. 2016;123(1):165-7. PubMed PMID: 27159067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neuraxial Anesthesia in Parturients with Low Platelet Counts. AU - Bernstein,Jeffrey, AU - Hua,Betty, AU - Kahana,Madelyn, AU - Shaparin,Naum, AU - Yu,Simon, AU - Davila-Velazquez,Juan, PY - 2016/5/10/entrez PY - 2016/5/10/pubmed PY - 2017/6/27/medline SP - 165 EP - 7 JF - Anesthesia and analgesia JO - Anesth Analg VL - 123 IS - 1 N2 - 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/mm) 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/mm was 1.2%. SN - 1526-7598 UR - https://www.unboundmedicine.com/medline/citation/27159067/Neuraxial_Anesthesia_in_Parturients_with_Low_Platelet_Counts_ L2 - https://doi.org/10.1213/ANE.0000000000001312 DB - PRIME DP - Unbound Medicine ER -