• Brit J Hosp Med · Jan 2023

    How should we measure platelet count before central neuraxial blockade in parturients with thrombocytopenia?

    • Jennifer Smith.
    • Department of Anaesthesia and Critical Care, Chelsea and Westminster Hospital, London, UK.
    • Brit J Hosp Med. 2023 Jan 2; 84 (1): 121-2.

    AbstractPatients with low platelet counts are a concern to the obstetric anaesthetist as, although rare, there is a risk of a spinal epidural haematoma following central neuraxial blockade. Although conventional plasma-based tests are frequently used to guide central neuraxial blockade in patients with thrombocytopenia, interest in the use of viscoelastic haemostatic assays is increasing.

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