Atypical presentation of an epidural hematoma in a patient receiving aspirin and low molecular weight heparin. Was epidural analgesia the right choice?

Journal of Clinical Anesthesia
Shilpa V KasodekarSharon R Davies

Abstract

A case of postoperative epidural hematoma with an atypical presentation and an excellent outcome in an 80 year-old woman who received both prophylactic aspirin and enoxaparin following a primary total knee arthroplasty, is presented. She developed lower limb neurological symptoms, fully recovered, and then deteriorated again. The hematoma was surgically evacuated, resulting in full neurological recovery. Epidural analgesia may not be the best choice for pain management in patients who require the combined use of aspirin and low-molecular weight heparin postoperatively.

References

Dec 1, 1994·Anesthesia and Analgesia·E P VandermeulenJ Vermylen
Dec 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·H Wulf
Dec 9, 1998·Regional Anesthesia and Pain Medicine·M Tryba
Dec 9, 1998·Regional Anesthesia and Pain Medicine·D R Schroeder
Jun 16, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Terese T Horlocker
Jun 16, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Stephan K W SchwarzWilliam N McDonald
Sep 18, 2004·Journal of Clinical Anesthesia·Scott A Lang
Sep 18, 2004·Journal of Clinical Anesthesia·Jacek B CywinskiLeonardo J Lozada
Dec 5, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Aparna R DalalMark S Shulman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
John Lissoway, Ashley Booth
The Journal of the Association of Physicians of India
M ThomasK V Krishna Das
© 2021 Meta ULC. All rights reserved