• A&A practice · Feb 2021

    Case Reports

    Management of Factor X Deficiency for Vaginal Delivery in a Parturient: A Case Report.

    • Colleen B Yen and Daniel J Katz.
    • From the Department of Anesthesiology & Perioperative Medicine, University of California, Los Angeles, California; and.
    • A A Pract. 2021 Feb 11; 15 (2): e01405.

    AbstractFactor X (FX) deficiency is a rare coagulopathy that may cause bleeding complications in parturients. The literature on rotational thromboelastometry (ROTEM; Instrumentation Laboratory, Bedford, MA) to guide factor repletion and neuraxial placement during partuition is limited. We present a 17-year-old parturient with FX deficiency after vaginal delivery with neuraxial anesthesia without bleeding complications. After FX concentrate administration, thromboelastometry was utilized to risk-stratify and manage her coagulopathy peripartum. Thromboelastometry may be a valuable adjunct to conventional monitoring in patient management. A limitation of this report is that coagulation tests and thromboelastometry were not assessed at identical timepoints.Copyright © 2021 International Anesthesia Research Society.

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