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Updated: Oct 13, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
Neuraxial Techniques for Parturients with Thromboprophylaxis or Thrombocytopenia
Jacqueline M Galvan1, Heather C Nixon1
1Department of Anesthesiology, University of Illinois at Chicago, 1740 West Taylor Street MW 3200W, Chicago, IL 60612, USA.
Abstract:
Pharmacologic thromboprophylaxis from venous thromboembolism (VTE) and thrombocytopenia in pregnancy results in conditions that may preclude the use of neuraxial anesthesia due to a perceived risk of spinal/epidural hematoma. Spinal epidural hematoma is a recognized complication in patients who are hypocoagulable and may lead patients to undergo general anesthesia for delivery or other procedures, which carries numerous complications in obstetric care. A robust understanding of maternal physiologic changes in coagulation status, review of consensus statements, and safety bundles may help to maximize the use of neuraxial anesthesia in obstetric patients who might otherwise be denied these anesthetic techniques.
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