Epidural hematoma following low molecular weight heparin prophylaxis and spinal anesthesia for cesarean delivery
AffiliationUniv Arizona, Dept Anesthesiol
Low molecular weight heparin
Deep venous thrombosis prophylaxis
Complications of regional anesthesia
MetadataShow full item record
CitationPujic, B., Holo-Djilvesi, N., Djilvesi, D., & Palmer, C. M. (2019). Epidural hematoma following low molecular weight heparin prophylaxis and spinal anesthesia for cesarean delivery. International journal of obstetric anesthesia, 37, 118-121.
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AbstractEpidural hematoma is a very uncommon complication of spinal anesthesia. Its incidence has been reported to be between 1:200 000-250 000 in the obstetric population following neuraxial anesthesia. Cesarean delivery increases the risk of maternal venous thromboembolism significantly and recommendations to decrease its incidence and morbidity have been developed. Strategies to decrease venous thromboembolism include pharmacologic prophylaxis with unfractionated or low molecular weight heparin. We report a case of spinal-epidural hematoma occurring in a parturient who received spinal anesthesia for a planned, repeat cesarean delivery after low molecular weight heparin thromboprophylaxis.
Note12 month embargo; available online 26 September 2018.
VersionFinal accepted manuscript
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- Don't throw the baby out with the bathwater: spinal-epidural hematoma in the setting of obstetric thromboprophylaxis and neuraxial anesthesia.
- Authors: Leffert L, Horlocker T, Landau R
- Issue date: 2019 Aug
- Reply to: "Don't throw the baby out with the bathwater: spinal-epidural hematoma in the setting of obstetric thromboprophylaxis and neuraxial anesthesia".
- Authors: Pujic B, Holo-Djilvesi N, Djilvesi D, Palmer CM
- Issue date: 2019 Aug