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Anesth Analg 2002;95:441-443
© 2002 International Anesthesia Research Society

OBSTETRIC ANESTHESIA

Accidental Spinal Analgesia in the Presence of a Lumboperitoneal Shunt in an Obese Parturient Receiving Enoxaparin Therapy

Bupesh Kaul, MD FRCA, Manuel C. Vallejo, MD, Sivam Ramanathan, MD, Gordon L. Mandell, MD, and Robert G. Krohner, DO

Department of Anesthesiology, The University of Pittsburgh School of Medicine, Magee Womens Hospital, Pittsburgh, Pennsylvania

Address correspondence and reprint requests to Bupesh Kaul, MD, FRCA, Department of Anesthesiology, The University of Pittsburgh School of Medicine, Magee Womens Hospital, 300 Halket St., Pittsburgh, PA 15213-3180. Address e-mail to kaulb{at}anes.upmc.edu

IMPLICATIONS:A single shot spinal anesthetic is not practical in a patient with a lumboperitoneal shunt. Neuraxial block and a blood patch (if necessary) may be performed in a patient on enoxaparin therapy if current guidelines for managing patients on anticoagulant therapy are followed.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.