Spinal anesthesia for a cesarean delivery in a woman with type-2M von Willebrand disease: case report and mini-review

被引：4
作者：
Cata, J. P.
Hanna, A.
Tetzlaff, J. E.
Bishai, A.
Barsoum, S. [1 ]
机构：
[1] Case Western Reserve Univ, Cleveland Clin, Inst Anesthesiol, Cleveland, OH 44195 USA
来源：
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2009年 / 18卷 / 03期
关键词：
Spinal anesthesia; von Willebrand disease; Desmopressin; FACTOR-VIII; VONWILLEBRANDS DISEASE; NEURAXIAL ANESTHESIA; REGIONAL ANESTHESIA; EPIDURAL ANALGESIA; PREGNANCY; PATIENT; MANAGEMENT; PARTURIENT; DIAGNOSIS;
D O I：
10.1016/j.ijoa.2009.01.011
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Von Willebrand disease is the most common inherited bleeding disorder. No consensus exists about the use of neuraxial analgesia or anesthesia in patients with von Willebrand disease. We report on a 38-year-old multiparous woman who presented at 36 weeks' of gestation with spontaneous rupture of membranes for urgent cesarean delivery. Preoperative coagulation tests were normal except for prolonged platelet adhesion and aggregation tests. The cesarean delivery was performed under spinal anesthesia with hyperbaric bupivacaine, fentanyl and morphine sulfate. Desmopressin was administered immediately after delivery. No perioperative complications were observed. (C) 2009 Published by Elsevier Ltd.
引用
收藏
页码：276 / 279
页数：4
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