Spinal Anesthetic in a Patient With a Platelet Count of 7000 × 109/L and Undiagnosed Thrombotic Thrombocytopenic Purpura: A Case Report

Straube, Lacey; Ridder, Gustaaf G. de; Huber, Christopher A; Blacker, Samuel N.

doi:10.1213/xaa.0000000000001184

Cited by 3 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Anestesia regional merupakan kontraindikasi absolut pada pasien dengan angka trombosit sangat rendah dan memiliki severe coagulopathy. 2,12 Teknik anestesi neuraxial pada wanita hamil dengan ITP memiliki risiko komplikasi berupa hematoma spinal-epidural. Hematoma spinalepidural merupakan kumpulan darah pada neuraxis spinal yang dapat mengkompresi medulla spinalis dan saraf yang dapat Untuk mengurangi risiko terjadinya komplikasi neurologis akibat anestesia regional, beberapa peneliti merekomendasikan penggunaan anestesi general.…”

Section: Pembahasanunclassified

Manajemen Anestesi pada Seksio Sesarea dengan Idiopathic Thrombocytopenic Purpura: Serial kasus

Hartono

Isngadi

2021

JAOI

View full text Add to dashboard Cite

Trombositopenia merupakan perubahan hemostasis yang umum terjadi pada wanita hamil, namun jarang ditemukan kondisi berat. Idiopathic thrombocytopenic purpura (ITP) merupakan salah satu penyebab trombositopenia pada wanita hamil. ITP ditandai dengan peningkatan penghancuran trombosit oleh antibodi immunoglobulin G (IgG) yang dapat meningkatkan risiko perdarahan pada pasien dan fetus. Kami melaporkan tiga kasus wanita hamil dengan ITP yang akan dilakukan tindakan seksio sesarea. Satu pasien menjalani seksio sesarea emergency dengan trombosit 4000 dan dua pasien menjalani seksio sesarea elektif. Pasien seksio sesarea elektif diberikan transfusi trombosit perioperatif terlebih dahulu. Ketiga pasien menjalani prosedur seksio sesarea dengan teknik anestesi general. Pemantauan perdarahan dilakukan selama sampai dengan setelah operasi. Kondisi postoperatif pasien baik dan dirawat di ruang intensive care unit (ICU). Case Series: Anesthesia Management in Caesarean Section with Idiopathic Thrombocytopenic Purpura Abstract Thrombocytopenia is the most common hemostatic change in pregnancy, but severe thrombocytopenia is rare. One of the causes, idiopathic thrombocytopenic purpura (ITP), is characterized by increased platelet destruction by immunoglobulin G (IgG) antibodies, presenting a high risk of hemorrhage for the patient, but also the fetus, since antibodies may cross the placenta. We report three cases of pregnant women with ITP undergoing cesarean section. One patient underwent emergency cesarean section with a platelet of 4000 and two patients underwent elective cesarean. Patients with elective cesarean section were given the first perioperative platelet transfusion. The cesarean section procedures were performed under general anesthesia. Bleeding monitoring is carried out during up to after surgery.

show abstract

Section: Pembahasanunclassified

Manajemen Anestesi pada Seksio Sesarea dengan Idiopathic Thrombocytopenic Purpura: Serial kasus

Hartono

Isngadi

2021

JAOI

View full text Add to dashboard Cite

show abstract

Spinal anesthesia for a preeclamptic patient with HELLP syndrome in the resource-limited area: A case report

Hailu

Milkias

Girma

2021

International Journal of Surgery Open

View full text Add to dashboard Cite

Introduction and importance: Thrombocytopenia is a known clinical presentation as many studies revealed around 1% of pregnant ladies were found to have a platelet count below 100 × 109/L. The cut-off value for the administration of neuraxial anesthesia in thrombocytopenic mothers is still unclear. This case report aims to explain the anesthetic management of a case with an indication for emergency hysterotomy. Case presentation: A 35 years old woman (94 kg, 150 cm Gravida1, Para 0) 25 weeks parturient was presented with headache and epigastric pain of 03 days duration. A decision to terminate the pregnancy was reached. The patient was obese (BMI = 41.7kg/m2) and all airway parameters indicate anticipated difficult airway, in addition to this she had a history of productive cough of 04 days duration and short NPO time, so considering all these risks we proceeded with spinal anesthesia. Clinical discussion: Update data about the anesthetic management of a mother with HELLP syndrome who planned for a cesarean section is not clear regarding the best approach. Clinicians must be aware of signs and symptoms of subarachnoid hematoma and be ready for intervention when spinal anesthesia is to be chosen. Conclusion: Fine-needle spinal anesthesia for a parturient that has HELLP syndrome has less incidence of subarachnoid hematoma, considering that ongoing postoperative follow-up should be there as we did in our case. Highlights

show abstract

Disorders of Blood, Coagulation, and Bone Marrow

Brown,

Douglas

2024

Obstetric Anesthesia and Uncommon Disorders

View full text Add to dashboard Cite

Spinal Anesthetic in a Patient With a Platelet Count of 7000 × 109/L and Undiagnosed Thrombotic Thrombocytopenic Purpura: A Case Report

Cited by 3 publications

References 11 publications

Manajemen Anestesi pada Seksio Sesarea dengan Idiopathic Thrombocytopenic Purpura: Serial kasus

Manajemen Anestesi pada Seksio Sesarea dengan Idiopathic Thrombocytopenic Purpura: Serial kasus

Spinal anesthesia for a preeclamptic patient with HELLP syndrome in the resource-limited area: A case report

Disorders of Blood, Coagulation, and Bone Marrow

Contact Info

Product

Resources

About