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Pregnant Patients on Anticoagulants

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Abstract

The main goal in parturients receiving anticoagulation and neuraxial anesthesia is to balance the risks of spinal epidural hematoma (SEH) versus benefits of neuraxial techniques for safer maternal and fetal outcomes. An understanding of the unique pregnancy associated physiological pharmacokinetic and pharmacodynamic changes, along with advanced patient centric planning as part of multidisciplinary team approach requires vigilant deliberation.

Prevention of SEH entails adherence to current guidelines for timing neuraxial block insertion/catheter removal with the last or subsequent dose of anticoagulant, along with use of dilute solutions of local anesthetics. Vigilant monitoring is essential to detect early neurological symptoms which may thwart progression to permanent sequelae.

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Author information

Authors and Affiliations

  1. Department of Anaesthesiology and Critical Care, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India

    Sunanda Gupta

  2. Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

    Anju Grewal

Authors
  1. Sunanda Gupta
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  2. Anju Grewal
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey

    Berrin Gunaydin

  2. Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan

    Samina Ismail

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Gupta, S., Grewal, A. (2018). Pregnant Patients on Anticoagulants. In: Gunaydin, B., Ismail, S. (eds) Obstetric Anesthesia for Co-morbid Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-93163-0_12

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  • DOI: https://doi.org/10.1007/978-3-319-93163-0_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93162-3

  • Online ISBN: 978-3-319-93163-0

  • eBook Packages: MedicineMedicine (R0)

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