Labour epidural analgesia for a woman with a factor XI deficiency: an illconsidered risk?
Inherited bleeding disorders contraindicate epidural analgesia because of the risk of epidural haematoma. However, there is no consensus about a minimal rate of factor XI required for its performance. We report here a case of epidural analgesia in a pregnant woman with a moderate and symptomatic fac...
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| Veröffentlicht in: | Annales françaises d'anesthésie et de réanimation 2009-01, Vol.28 (1), p.86-90 |
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| container_title | Annales françaises d'anesthésie et de réanimation |
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| creator | Pepino, F Granchamp, P Odin, I Decroisette, E Nathan, N |
| description | Inherited bleeding disorders contraindicate epidural analgesia because of the risk of epidural haematoma. However, there is no consensus about a minimal rate of factor XI required for its performance. We report here a case of epidural analgesia in a pregnant woman with a moderate and symptomatic factor XI deficiency, despite this theoretical contraindication. Indeed, the factor XI deficiency results in a haemorrhagic risk which is variable and not easily foreseeable. Nevertheless, no neurological after-effect or excessive bleeding occurred although no specific prophylaxis had been performed. |
| doi_str_mv | 10.1016/j.annfar.2008.10.019 |
| format | Article |
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| fulltext | fulltext |
| identifier | EISSN: 1769-6623 |
| ispartof | Annales françaises d'anesthésie et de réanimation, 2009-01, Vol.28 (1), p.86-90 |
| issn | 1769-6623 |
| language | fre |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Analgesia, Epidural - adverse effects Analgesia, Obstetrical - adverse effects Factor XI - physiology Factor XI - therapeutic use Factor XI Deficiency - complications Female Hemoglobins - metabolism Hemorrhage - drug therapy Hemorrhage - epidemiology Humans Platelet Count Pregnancy Risk Assessment |
| title | Labour epidural analgesia for a woman with a factor XI deficiency: an illconsidered risk? |
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