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

Citation
Bg. Fahy et Am. Malinow, ANESTHESIA WITH ANTIPHOSPHOLIPID ANTIBODIES - ANESTHETIC MANAGEMENT OF A PARTURIENT WITH LUPUS ANTICOAGULANT AND ANTICARDIOLIPIN ANTIBODY, Journal of clinical anesthesia, 8(1), 1996, pp. 49-53
Citations number
47
Categorie Soggetti
Anesthesiology
ISSN journal
09528180
Volume
8
Issue
1
Year of publication
1996
Pages
49 - 53
Database
ISI
SICI code
0952-8180(1996)8:1<49:AWAA-A>2.0.ZU;2-T
Abstract
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.