ANESTHESIA WITH ANTIPHOSPHOLIPID ANTIBODIES - ANESTHETIC MANAGEMENT OF A PARTURIENT WITH LUPUS ANTICOAGULANT AND ANTICARDIOLIPIN ANTIBODY

The anesthetic management of a parturient with a circulating lupus ant icoagulant and an anticardiolipin antibody presenting to the obstetric suite taking heparin and aspirin is discussed. Issues concerning plac ement of a regional anesthetic with recent aspirin ingestion and hepar in therapy are discussed. Documentation of heparin dissipation via a w hole blood heparin concentration assay before induction of regional an esthesia, including several laboratory tests that could be used in mon itoring coagulation status in this patient population, is discussed in detail.