Thromboelastometry-guided neuraxial anesthesia in a parturient with severe thrombocytopenia due to large granular lymphocytic leukemia

Chloe Getrajdman; Matthew Sison; Colleen Yen; Morgane Giordano; Yaakov Beilin; Daniel Katz

doi:10.1097/MBC.0000000000000970

Thromboelastometry-guided neuraxial anesthesia in a parturient with severe thrombocytopenia due to large granular lymphocytic leukemia

Chloe Getrajdman, Matthew Sison, Colleen Yen, Morgane Giordano, Yaakov Beilin, Daniel Katz

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Severe thrombocytopenia (platelet count <50 000/μl) in pregnancy is uncommon and is generally considered a contraindication to neuraxial anesthesia. We present a case of a parturient who presented with severe thrombocytopenia secondary to bone marrow failure. After receiving platelet and cryoprecipitate transfusions to correct coagulopathy as verified by thromboelastometry, neuraxial anesthesia was safely utilized.

Original language	English
Pages (from-to)	64-67
Number of pages	4
Journal	Blood Coagulation and Fibrinolysis
Volume	32
Issue number	1
DOIs	https://doi.org/10.1097/MBC.0000000000000970
State	Published - 1 Jan 2021

Keywords

large granular lymphocytic leukemia
neuraxial anesthesia
thrombocytopenia
thromboelastometry

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10.1097/MBC.0000000000000970

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abstract = "Severe thrombocytopenia (platelet count <50 000/μl) in pregnancy is uncommon and is generally considered a contraindication to neuraxial anesthesia. We present a case of a parturient who presented with severe thrombocytopenia secondary to bone marrow failure. After receiving platelet and cryoprecipitate transfusions to correct coagulopathy as verified by thromboelastometry, neuraxial anesthesia was safely utilized.",

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AU - Beilin, Yaakov

AU - Katz, Daniel

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N2 - Severe thrombocytopenia (platelet count <50 000/μl) in pregnancy is uncommon and is generally considered a contraindication to neuraxial anesthesia. We present a case of a parturient who presented with severe thrombocytopenia secondary to bone marrow failure. After receiving platelet and cryoprecipitate transfusions to correct coagulopathy as verified by thromboelastometry, neuraxial anesthesia was safely utilized.

AB - Severe thrombocytopenia (platelet count <50 000/μl) in pregnancy is uncommon and is generally considered a contraindication to neuraxial anesthesia. We present a case of a parturient who presented with severe thrombocytopenia secondary to bone marrow failure. After receiving platelet and cryoprecipitate transfusions to correct coagulopathy as verified by thromboelastometry, neuraxial anesthesia was safely utilized.

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KW - neuraxial anesthesia

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Thromboelastometry-guided neuraxial anesthesia in a parturient with severe thrombocytopenia due to large granular lymphocytic leukemia

Abstract

Keywords

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