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Middle East J Anaesthesiol · Jun 2009
Case ReportsUneventful epidural analgesia in a patient with severe thrombocytopenia.
- Sami M Ibrahim and Mustafa Saleh ElGazali.
- Anesthesia Department, Hamad Medical Corporation. P.O. Box: 3050 Doha-Qatar. samyelaidy11@gmail.com
- Middle East J Anaesthesiol. 2009 Jun 1;20(2):291-4.
AbstractEpidural analgesia is the most effective method for analgesia in labor. It has, however, contraindications and carries many serious side effects. Though coagulopathy is an absolute contraindication for epidural and axial blocks, yet there are no absolute limits for platelet counts that stand in the way of providing epidural analgesia. In a patient who is writhing in pain due to severe uterine contractions, and in whom there exists a recent normal platelet screening and no history of bleeding disorders, it is internationally acceptable between anesthetists to provide epidural analgesia without waiting for a new platelet screening.
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