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- A A Mauritz, Z Y Strouch, and A J Olufolabi.
- Department of Anesthesiology, Duke University Medical Center, Box 3094, Mail Sort #10, Durham, NC 27710, USA. Electronic address: Amy.mauritz@duke.edu.
- J Clin Anesth. 2016 Aug 1; 32: 159-61.
AbstractWe report the use of rotational thromboelastometry (ROTEM) to guide the management of a 29-year-old primigravida at 36weeks' gestation with portal hypertension, esophageal varices, suspected pseudocholinesterase deficiency, and steroid refractory thrombocytopenia presenting to labor and delivery with worsening peripheral edema and new-onset hypertension. A multidisciplinary decision for preoperative platelet transfusion and cesarean delivery under spinal anesthesia was made, guided by ROTEM. A successful cesarean delivery was performed with no bleeding complications.Copyright © 2016 Elsevier Inc. All rights reserved.
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