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[How is the use of low molecular weight heparin in regional anesthesia evaluated?]
1Anästhesie-Abteilung, Krankenhaus Nordwest, Frankfurt a.M.
It is difficult to predict the risk of bleeding in regional techniques under concomitant LMH administration, as each LMH preparation has a particular mode of action and different pharmacological properties. Although complications due to bleeding, that occurs during the execution of a regional technique, are extremely rare, epidural anaesthesia with or without a catheter should be avoided during LMH administration. Where strongly indicated, a spinal anaesthetic can be performed by an experienced colleague. Epidural anaesthesia should not be carried out until at least 12 hours after the last dose of LMH.
It is difficult to predict the risk of bleeding in regional techniques under concomitant LMH administration, as each LMH preparation has a particular mode of action and different pharmacological properties. Although complications due to bleeding, that occurs during the execution of a regional technique, are extremely rare, epidural anaesthesia with or without a catheter should be avoided during LMH administration. Where strongly indicated, a spinal anaesthetic can be performed by an experienced colleague. Epidural anaesthesia should not be carried out until at least 12 hours after the last dose of LMH.