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.
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