Journal article
Neuraxial anesthesia in the presence of clinical anticoagulation: What are our options for pediatric patients?
International journal of clinical and experimental medicine, Vol.8(1), pp.1475-1481
01/01/2015
PMCID: PMC4358613
PMID: 25785158
Abstract
The use of local anesthesia combined with general anesthesia to provide effective perioperative analgesia continues to increase in the pediatric population. Although neurological complications resulting from peridural hemorrhage following placement of neuraxial blockade is extremely rare in the absence of co-morbid conditions, the consequences can be devastating. Therefore, caution should be exercised, especially in patients receiving antithrombotic or thrombolytic therapy. We present two patients who received unplanned anticoagulation therapy perioperatively following placement of an epidural catheter for postoperative analgesia. Potential concerns with anticoagulation therapy in patients with epidural catheters are discussed and suggestions for the care of such patients are presented.
Details
- Title: Subtitle
- Neuraxial anesthesia in the presence of clinical anticoagulation: What are our options for pediatric patients?
- Creators
- Hiromi Kako - The Ohio State UniversityRalph J. Beltran - The Ohio State UniversitySenthil G. Krishna - The Ohio State UniversityTarun Bhalla - The Ohio State UniversityJoseph D. Tobias - The Ohio State University Wexner Medical Center
- Resource Type
- Journal article
- Publication Details
- International journal of clinical and experimental medicine, Vol.8(1), pp.1475-1481
- PMID
- 25785158
- PMCID
- PMC4358613
- NLM abbreviation
- Int J Clin Exp Med
- ISSN
- 1940-5901
- eISSN
- 1940-5901
- Number of pages
- 7
- Language
- English
- Date published
- 01/01/2015
- Academic Unit
- Anesthesia
- Record Identifier
- 9985178669702771
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