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- Johanna Blair de Haan, Subhan Tabba, Linden O Lee, Semhar Ghebremichael, Sudipta Sen, Daniel Shoham, and Nadia Hernandez.
- From the Department of Anesthesiology and Perioperative Medicine, McGovern School of Medicine, University of Texas Health Science Center at Houston, Houston, Texas.
- A A Pract. 2020 May 1; 14 (7): e01193.
AbstractNeuraxial analgesia has been established as the standard of care for labor analgesia. However, patients presenting with coagulopathy require anesthesiologists to explore alternate analgesic techniques. Systemic opioids may result in neonatal respiratory depression, and inhaled nitrous oxide may lead to nausea, vomiting, and over sedation and may not be readily available in all labor and delivery units. In this case report, we describe a case where posterior quadratus lumborum blocks provided effective analgesia in a parturient with Hemophilia A during the first stage of labor.
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