Hereditary Antithrombin III Deficiency and Neuraxial Anaesthesia
| Autor: | B J Piper, P. T. Farrell |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Antithrombin III Deficiency medicine.drug_class business.industry Anticoagulant Antithrombin Antithrombin III deficiency Perioperative Middle Aged Critical Care and Intensive Care Medicine medicine.disease Thrombophilia Anesthesia Spinal Thrombosis Perioperative Care Regimen Anesthesiology and Pain Medicine Coagulation Anesthesia medicine Humans Intensive care medicine business medicine.drug |
| Zdroj: | Anaesthesia and Intensive Care. 43:782-785 |
| ISSN: | 1448-0271 0310-057X |
| DOI: | 10.1177/0310057x1504300618 |
| Popis: | Antithrombin III (ATIII) deficiency offers unique challenges to the anaesthetist in the perioperative setting due to the inherent thrombophilia, the anticoagulant therapies instituted and replacement of the deficient intrinsic natural anticoagulant. A particular challenge is the use of intrathecal anaesthesia, which requires a safe level of coagulation at the time of subarachnoid puncture. We describe the use of intrathecal anaesthesia on two occasions in a patient with ATIII deficiency who received human-derived ATIII concentrate as part of a perioperative anticoagulant regimen. The patient sustained no thrombotic or bleeding events. Our experience suggests that ATIII deficiency does not preclude the use of regional anaesthetic techniques so long as there is timely referral to a multidisciplinary perioperative service for anticoagulant management and that ATIII concentrate is used to ensure safe levels of ATIII throughout the perioperative period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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