journal article
LitStream Collection
Impaired haemostasisd and regional anaesthesia
doi: 10.1007/bf03011675pmid: 8706215
ConclusionsA striking lack of data has always made rational judgement of the balance between the risk of spinal haematoma, and the benefits of perioperative regional anaesthesia and/or analgesia difficult. While new information regarding the benefits of regional anaesthesia is now helping in this cause, the more frequent presentation of patients in whom impaired haemostasis is present, or anticipated, has further complicated the issue. The many states of impaired haemostasis created by drugs and bleeding diathesis, and what is known of their influence on the risk of spinal haematoma have been presented. While some conditions contraindicate the use of neuraxial techniques, careful management of many of the types of impaired haemostasis can keep the balance of these two issues in favour of the practice of regional anaesthesia and pain control.