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Case Reports
Management of Hemorrhage During Cesarean Delivery in a Patient With Vascular Ehlers-Danlos Syndrome: A Case Report.
- Orna Grant, Karen Mulligan, Jennifer Donnelly, Fionnuala Ní Áinle, and MhuircheartaighRóisín NíRNFrom the Departments of Anaesthesia..
- From the Departments of Anaesthesia.
- A A Pract. 2023 Jan 1; 17 (1): e01655e01655.
AbstractParturients with vascular Ehlers-Danlos syndrome are at particular risk of hemorrhage, and there is little evidence to guide prevention or management of hemorrhage in these patients. We present the case of a patient with vascular Ehlers-Danlos syndrome who had a cesarean delivery complicated by an intraoperative hemorrhage. Administration of desmopressin and tranexamic acid appeared to be of marked benefit in achieving hemostasis. To the best of our knowledge, this is the first report of the use of desmopressin during major obstetric hemorrhage in vascular Ehlers-Danlos syndrome.Copyright © 2023 International Anesthesia Research Society.
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