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[Labour epidural analgesia for a parturient with a factor XI deficiency: an ill-considered challenge or a reasonable

J-V Schaal1, A Jarrassier, J Renner

  • 1Département d'anesthésie-réanimation, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94163 Saint-Mandé, France.

Annales Francaises D'Anesthesie Et De Reanimation
|May 21, 2013
PubMed

The authors report the performance of a labour epidural analgesia in a 26-year-old parturient presenting a moderate factor XI (FXI) deficiency. If haemostasis disorders usually contraindicate an epidural analgesia (with a risk of epidural haematoma), a moderate FXI deficiency is not an absolute contraindication to perform such an epidural analgesia. Desmopressin, sometimes used in surgery to reduce the bleeding, was administered to withdraw the catheter in better haemostasis conditions. No neurological signs were observed.

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