The use of thromboelastography for the peripartum management of a patient with platelet storage pool disorder

Abstract We describe the peripartum management of a 26-year-old primigravida with a platelet storage pool disorder who underwent spontaneous vaginal delivery of twins with epidural analgesia. Postpartum hemorrhage from uterine atony, and cervical and vaginal lacerations were treated successfully wit...

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Veröffentlicht in:	International journal of obstetric anesthesia 2011-04, Vol.20 (2), p.173-177
Hauptverfasser:	Rajpal, G, Pomerantz, J.M, Ragni, M.V, Waters, J.H, Vallejo, M.C
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Anesthesia & Perioperative Care Anesthesiology Deamino Arginine Vasopressin - therapeutic use Female Humans Obstetrics Obstetrics and Gynecology Peripartum Period Platelet Storage Pool Deficiency - blood Platelet Storage Pool Deficiency - complications Platelet storage pool disorder Postpartum hemorrhage Postpartum Hemorrhage - therapy Pregnancy Pregnancy Complications - blood Thrombelastography - methods Thromboelastography
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Zusammenfassung:	Abstract We describe the peripartum management of a 26-year-old primigravida with a platelet storage pool disorder who underwent spontaneous vaginal delivery of twins with epidural analgesia. Postpartum hemorrhage from uterine atony, and cervical and vaginal lacerations were treated successfully with 1-desamino-8D-arginine vasopressin and blood products. The use of thromboelastography in the assessment and management of bleeding risk in the setting of platelet storage pool disorder is described.
ISSN:	0959-289X 1532-3374
DOI:	10.1016/j.ijoa.2010.09.014