Anaesthesia for caesarean delivery in a parturient following a recent cerebrovascular event

Iqbal, Rehana; Russell, Robin

doi:10.1016/j.ijoa.2007.12.002

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…As with other pregnancy complications, there are case studies, for example, on decision making when dealing with a case of cesarean delivery in complicated APS when TEG was employed. 169…”

Section: Antiphospholipid Syndromementioning

confidence: 99%

Classic and Global Hemostasis Testing in Pregnancy and during Pregnancy Complications

Ataullakhanov

Koltsova

Баландина³

et al. 2016

Semin Thromb Hemost

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Pregnancy is associated with a significant procoagulant shift in the hemostatic system balance as well as other metabolic changes. Pregnancy can thereby provoke manifestation of otherwise dormant disorders of hemostasis (e.g., thrombophilia), or even cause new, pregnancy-specific disorders (e.g., HELLP syndrome). Application and interpretation of laboratory assays of hemostasis in pregnancy is particularly challenging, because normal physiological ranges are no longer applicable, and because the most dangerous and complex changes are not detected by classic routine coagulation/platelet assays. New global assays of coagulation and of platelet-dependent hemostasis appear to be promising in this respect, but are still far from clinical practice and rarely appear in current patient management guidelines. These global assays require a high level of research to identify their relationship to clinically significant outcomes. Here, we review the state-of-the-art knowledge of the molecular changes in the hemostatic system in normal pregnancy and during pregnancy-related complications (preeclampsia, thrombotic microangiopathies, antiphospholipid syndrome, etc.). We also discuss the sensitivity of various classic and innovative assays to these pregnancy-associated changes, and describe current and potential future applications of these assays in meeting specific clinical needs.

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“…As with other pregnancy complications, there are case studies, for example, on decision making when dealing with a case of cesarean delivery in complicated APS when TEG was employed. 169…”

Section: Antiphospholipid Syndromementioning

confidence: 99%

Classic and Global Hemostasis Testing in Pregnancy and during Pregnancy Complications

Ataullakhanov

Koltsova

Баландина³

et al. 2016

Semin Thromb Hemost

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“…Thrombotic complications in patients with ITP are relatively often the consequence of IVIG treatment. Of the 15 case reports of ischemic stroke in patients with ITP mentioned subsequently, we identified 4 cases of acute ischemic stroke which occurred in the days after IVIG treatment, 20 –23 including 1 case which occurred immediately after IVIG infusion. 20 About 75% of IVIG-related thrombotic events occur within 24 hours of infusion, 50% occurring within the first 4 hours.…”

Section: Thrombotic Events As Complications Of Itpmentioning

confidence: 99%

“…In one published case, the authors decided not to administer antiplatelet agents because of the patient’s low platelet count 29 ; others treated their patients with aspirin, with other antiplatelet agents such as sodium ozagrel, 28,34 and with heparin, 20,31 or they recommended clopidogrel after discharge. 32 At the same time, most patients were treated with corticosteroids, IVIG, or immunosuppressants.…”

Section: Treatment Of Ischemic Stroke In a Patient With Itpmentioning

confidence: 99%

“…32 At the same time, most patients were treated with corticosteroids, IVIG, or immunosuppressants. 20,31,29,34,32,30 What was emphasized was the promising effect of the combination of platelet destruction suppression with IVIG and corticosteroids followed by treatment with antiplatelet agents. 32 One particularly remarkable case was described by Ichijo et al, in which intensive immunosupressive therapy led to a lowering of PMP levels, an increase in platelet count, a decrease in the degree of intracranial vascular stenosis, and an improvement in the neurologic deficit caused by stroke.…”

Section: Treatment Of Ischemic Stroke In a Patient With Itpmentioning

confidence: 99%

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A Seeming Paradox

Mihalov

Timárová

2014

Clin Appl Thromb Hemost

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Nowadays, we have a relatively sophisticated standard approach to a patient with acute ischemic stroke, including the sequence of diagnostic methods and treatment modalities. In practice, however, we are occasionally confronted with a patient whose medical history or comorbidities force us to make a decision without the support of guidelines. One such situation is the occurrence of acute ischemic stroke in a patient with known idiopathic thrombocytopenic purpura, where a tendency to use thrombolysis, anticoagulants, or antiplatelet agents collides with the fear of life-threatening bleeding. In this review, we try to outline current understanding of the pathophysiology of "paradoxical" ischemic events in this illness characterized by thrombocytopenia and to summarize clinical experience from case reports dealing with this topic, which could help us to rely on more than individual opinion seen through a purely "neurological" or "hematological" prism.

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Disorders of the Central Nervous System in Pregnancy

Ram,

Vadhera

2024

Obstetric Anesthesia and Uncommon Disorders

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Anaesthesia for caesarean delivery in a parturient following a recent cerebrovascular event

Cited by 5 publications

References 12 publications

Classic and Global Hemostasis Testing in Pregnancy and during Pregnancy Complications

Classic and Global Hemostasis Testing in Pregnancy and during Pregnancy Complications

A Seeming Paradox

Disorders of the Central Nervous System in Pregnancy

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