Regional anaesthesia in obstretic patients receiving antithrombotic drugs [article]

Ζωή Μασούρου, University Of Thessaly, Αθανάσιος Χαλκιάς
2020
Υπεβλήθη για την εκπλήρωση μέρους των απαιτήσεων για την απόκτηση του Abstract In modern obstetric anesthesia, regional techniques (epidural, subarachnoid, combined anesthesia) are now the preferred techniques for providing anesthesia. Meanwhile, the perioperative management of patients receiving antithrombotic agents (antiplatelet and anticoagulants) is becoming increasingly frequent in daily practice. The administration of anticoagulants during pregnancy is challenging due to the
more » ... changes in hemostasis and the need for maintaining a balance between prevention of complications, e.g. postpartum hemorrhage or subarachnoid hematoma, and the risk for thromboembolic disease. The American Society for Regional Anesthesia and other European Societies have published guidelines on regional anesthesia in patients receiving anticoagulant therapy. However, the risk in many procedures, such as the insertion or removal of the epidural catheter, remains increased. Consequently, adequate understanding of the pharmacokinetics and pharmacodynamics of antithrombotics is required by the perioperative physician. All these challenges require a multidisciplinary approach by a specialist team including the obstetrician-gynecologist, the anesthesiologist, and the hematologist.
doi:10.26253/heal.uth.12484 fatcat:gmy6ur5yl5gj7pvoivaledmfo4