Epidural anaesthesia and thrombocytopenia

Authors

  • P. HEW-WING,

    1. P. Hew-Wing, MD, FRCP(C), Clinical Fellow, S. H. Rolbin, MDCM, FRCP(C), E. Hew, MD, FRCP(C), D. Amato, MD, FRCP(C), Consultants, Departments of Anaesthesia and Medicine, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada MSG 1X5.
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  • S. H. ROLBIN,

    1. P. Hew-Wing, MD, FRCP(C), Clinical Fellow, S. H. Rolbin, MDCM, FRCP(C), E. Hew, MD, FRCP(C), D. Amato, MD, FRCP(C), Consultants, Departments of Anaesthesia and Medicine, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada MSG 1X5.
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  • E. HEW,

    1. P. Hew-Wing, MD, FRCP(C), Clinical Fellow, S. H. Rolbin, MDCM, FRCP(C), E. Hew, MD, FRCP(C), D. Amato, MD, FRCP(C), Consultants, Departments of Anaesthesia and Medicine, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada MSG 1X5.
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  • D. AMATO

    1. P. Hew-Wing, MD, FRCP(C), Clinical Fellow, S. H. Rolbin, MDCM, FRCP(C), E. Hew, MD, FRCP(C), D. Amato, MD, FRCP(C), Consultants, Departments of Anaesthesia and Medicine, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada MSG 1X5.
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Summary

A case is presented of a mother with unanticipated profound thrombocytopenia who received a continuous epidural anaesthetic for labour. No neurological sequelae or excessive bleeding occurred. It is clear, after a review of the literature, that more information is needed to define the lower limits of platelet count at which it is safe to proceed with epidural anaesthesia.

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