To Anticoagulate or Not to Anticoagulate
Conference Proceeding - Restricted Access
37 year old G2P1001 female presented with elevated blood pressure and headache. Labs showed signs of hemolysis, elevated LFTs and thrombocytopenia, suggestive of HELLP syndrome as well as a positive asymptomatic COVID-19 test. She was subsequently taken for emergent C-section under general anesthesia. She encountered post-partum hemorrhage and post operatively became dyspneic with worsening anemia and hypofibrinogenemia, therefore did not receive post-operative thromboprophylaxis due to ongoing coagulopathy. A CXR showed signs of pneumonia due to COVID19 and a CTA showed multiple pulmonary emboli. This case discusses the challenges of thromboprophylaxis in the setting of a known coagulopathy.
Harley J, Khan H, Soto RG. To anticoagulate or not to anticoagulate. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4841
American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.