Neuraxial Anesthesia in Maternal Coagulopathy: Post-Procedure Monitoring and Management
The patient is a 20 year old female who presented to OB triage. NST was non-reassuring, and subsequent BPP scored 2/10. She was taken for emergency c-section for fetal indication, performed under spinal anesthetic. Her post op-course was complicated by retained POC requiring EUA and D&C, as well as post-partum hemorrhage and pelvic hematoma requiring massive transfusion. Platelets drawn from pre-op labs were 32. In this case we will discuss causes and management of peri-partum maternal coagulopathy. We will also review ideal post-op monitoring in the case of neuraxial anesthetic placed in a patient with significant thrombocytopenia.
Laney M, Khan H, Vahabzadeh CM. Neuraxial anesthesia in maternal coagulopathy: post-procedure monitoring and management. 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/5507