• Anesthesia and analgesia · Oct 2018

    Epidural Analgesia and Subcutaneous Heparin 3 Times Daily in Cancer Patients With Acute Postoperative Pain.

    • Jackson Su, Jose M Soliz, Keyuri U Popat, and Rodolfo Gebhardt.
    • From the Departments of Anesthesiology and Perioperative Medicine.
    • Anesth. Analg. 2018 Oct 1; 127 (4): e57-e59.

    AbstractThe use of epidural analgesia in conjunction with subcutaneous administration of unfractionated heparin 3 times per day could increase the risk of spinal epidural hematoma, but insufficient patient experience data exist to determine this. We retrospectively reviewed the incidence of spinal epidural hematoma in 3705 cases at our institution over a 7-year period of patients receiving acute postoperative epidural analgesia and heparin 3 times per day. No cases of spinal epidural hematoma were reported (95% CI, 0-0.0009952).

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