Regional Anesthesia for Primary Cesarean Section in Patients With Preterm HELLP Syndrome: A Review of 102 Cases

Palit, Shyamal; Palit, G.; Vercauteren, M.; Jacquemyn, Yves

doi:10.1097/01.aoa.0000386833.65997.af

Cited by 7 publications

(13 citation statements)

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“…Twelve studies involved no platelet transfusions (Beilin 1997; Bernstein 2016; Foerster 2015; McLure 2003; Noris 2014; Palit 2008; Ramanathan 1988; Rolbin 1988; Ruell 2006; Totadri 2014; Waldman 1987; Welter 2008).…”

Section: Resultsmentioning

confidence: 99%

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia

Estcourt

Malouf

Hopewell

et al. 2018

Cochrane Database of Systematic Reviews

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We found no evidence from RCTs or non-randomised studies on which to base an assessment of the correct platelet transfusion threshold prior to insertion of a lumbar puncture needle or epidural catheter. There are no ongoing registered RCTs assessing the effects of different platelet transfusion thresholds prior to the insertion of a lumbar puncture or epidural anaesthesia in people with thrombocytopenia. Any future study would need to be very large to detect a difference in the risk of bleeding. A study would need to be designed with at least 47,030 participants to be able to detect an increase in the number of people who had major procedure-related bleeding from 1 in 1000 to 2 in 1000. The use of a central data collection register or routinely collected electronic records (big data) is likely to be the only method to systematically gather data relevant to this population.

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Section: Resultsmentioning

confidence: 99%

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia

Estcourt

Malouf

Hopewell

et al. 2018

Cochrane Database of Systematic Reviews

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“…La importancia de la analgesia del parto en éstas pacientes está dada por la reducción de las respuestas hipertensivas mediadas por el dolor. Además, la presencia de un catéter peridural funcionante permite la eventual realización de una cesárea [10].…”

Section: Discussionunclassified

Consideraciones anestésicas en el síndrome de HELLP

Galarraga¹,

Schwartzmann²

2018

Rev Chil Anest

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“…A retrospective study demonstrated that combined spinal-epidural anesthesia can be used in cases of HELLP syndrome [16]. Two patients received a combined spinal epidural although their immediate preoperative thrombocyte count was <50,000 per microliter.…”

Section: Discussionmentioning

confidence: 99%

Uneventful Spinal Anesthesia in a Patient with Precipitous Drop of Platelet Secondary to HELLP Syndrome: A Case Report and Review of Literatures

Liu¹,

Li²,

Wang³

2012

OJAnes

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Thrombocytopenia caused by Hemolysis, Elevated Liver enzymes and Low Platelet count (HELLP) syndrome in preeclampsia parturients can be associated with substantial maternal and neonatal morbidity. Data on the issue of the safety of neuraxial anesthesia with thrombocytopenia in HELLP syndrome is limited. A lower limit of 100,000 per microliter for platelet count was suggested as "safe" for performing neuraxial anesthesia, however there is no supporting data. This lower limit is challenged lately. We present a case of uneventful spinal anesthesia for urgent Cesarean section in a patient with severe pre-eclamsia, HELLP syndrome and precipitous platelet drop from 230,000 to 42,000 per microliter.

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Regional Anesthesia for Primary Cesarean Section in Patients With Preterm HELLP Syndrome: A Review of 102 Cases

Cited by 7 publications

References 0 publications

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia

Consideraciones anestésicas en el síndrome de HELLP

Uneventful Spinal Anesthesia in a Patient with Precipitous Drop of Platelet Secondary to HELLP Syndrome: A Case Report and Review of Literatures

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