Anesthesia and analgesia
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Anesthesia and analgesia · Oct 2015
Multicenter StudyNeuraxial Anesthesia in Parturients with Thrombocytopenia: A Multisite Retrospective Cohort Study.
The primary aim of this study was to estimate the risk of neuraxial hematoma associated with neuraxial anesthetic procedures in thrombocytopenic parturients. ⋯ Our work supports the relative maternal safety of neuraxial anesthesia in parturients with mild thrombocytopenia and estimates the maternal complication rate associated with the avoidance of neuraxial anesthesia. Remaining uncertainties at lower platelet counts make a national "low platelet" registry critical to a more accurate assessment of the risk of epidural hematoma and would aid in standardization of anesthesia practice.