Analgesia epidural en gestante con déficit del factor VII
| Autor: | R. López Pérez, S. Pérez Castillejo, C. Aguilar Franco, J. Bollici Martínez, J. L. Valiente Álvarez, V. del Villar Sordo |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Pregnancy
postpartum bleeding Spinal hematoma Factor VII business.industry Critical Care and Intensive Care Medicine medicine.disease Thrombosis chemistry.chemical_compound Anesthesiology and Pain Medicine chemistry Coagulation hemic and lymphatic diseases Anesthesia medicine Gestation cardiovascular diseases Poor correlation business |
| Zdroj: | Revista Española de Anestesiología y Reanimación. 69:242-244 |
| ISSN: | 0034-9356 |
| DOI: | 10.1016/j.redar.2020.12.010 |
| Popis: | The congenital deficit of FVII of coagulation it's an anomaly of genetic transmission autosomal recessive type, it can occur with clinical manifestations like hematomas and spontaneous bleeding or not. The normal levels of FVII it's found between 70%-130% of the laboratory reference value. For unknown reasons there is a poor correlation between levels of FVII and bleeding risk. During pregnancy coagulation can be significantly altered, there is a no clear consensus and a very few information about how to act during labor in a patient with a FVII deficit. The case of a 35-year-old patient with 35 weeks of gestation and congenital deficit of the coagulation FVII (36%) is presented, epidural analgesia is performed during labor previously administering activated recombinant FVII (rFVIIa) without complications (Spinal hematoma, postpartum bleeding, thrombosis). |
| Databáze: | OpenAIRE |
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