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  • Title: Neuraxial Anesthesia in Parturients with Low Platelet Counts.
    Author: Bernstein J, Hua B, Kahana M, Shaparin N, Yu S, Davila-Velazquez J.
    Journal: Anesth Analg; 2016 Jul; 123(1):165-7. PubMed ID: 27159067.
    Abstract:
    The obstetric anesthesiologist must consider the risk of spinal-epidural hematoma in patients with thrombocytopenia when choosing to provide neuraxial anesthesia. There are little data exploring this complication in the parturient. In this single-center retrospective study of 20,244 obstetric patients, the incidence of peripartum thrombocytopenia (platelet count <100,000/mm) was 1.8% (368 patients). Of these patients, 69% (256) received neuraxial anesthesia. No neuraxial hematoma occurred in any of our patients. The upper 95% confidence limit for spinal-epidural hematoma in patients who received neuraxial anesthesia with a platelet count of <100,000/mm was 1.2%.
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