Spinal anesthesia for a cesarean delivery in a woman with type-2M von Willebrand disease: case report and mini-review

J. P. Cata; A. Hanna; J. E. Tetzlaff; A. Bishai; S. Barsoum

doi:10.1016/j.ijoa.2009.01.011

Spinal anesthesia for a cesarean delivery in a woman with type-2M von Willebrand disease: case report and mini-review

J. P. Cata, A. Hanna, J. E. Tetzlaff, A. Bishai, S. Barsoum

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Von Willebrand disease is the most common inherited bleeding disorder. No consensus exists about the use of neuraxial analgesia or anesthesia in patients with von Willebrand disease. We report on a 38-year-old multiparous woman who presented at 36 weeks' of gestation with spontaneous rupture of membranes for urgent cesarean delivery. Preoperative coagulation tests were normal except for prolonged platelet adhesion and aggregation tests. The cesarean delivery was performed under spinal anesthesia with hyperbaric bupivacaine, fentanyl and morphine sulfate. Desmopressin was administered immediately after delivery. No perioperative complications were observed.

Original language	English (US)
Pages (from-to)	276-279
Number of pages	4
Journal	International Journal of Obstetric Anesthesia
Volume	18
Issue number	3
DOIs	https://doi.org/10.1016/j.ijoa.2009.01.011
State	Published - Jul 2009
Externally published	Yes

Keywords

Desmopressin
Spinal anesthesia
von Willebrand disease

ASJC Scopus subject areas

Obstetrics and Gynecology
Anesthesiology and Pain Medicine

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10.1016/j.ijoa.2009.01.011

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title = "Spinal anesthesia for a cesarean delivery in a woman with type-2M von Willebrand disease: case report and mini-review",

abstract = "Von Willebrand disease is the most common inherited bleeding disorder. No consensus exists about the use of neuraxial analgesia or anesthesia in patients with von Willebrand disease. We report on a 38-year-old multiparous woman who presented at 36 weeks' of gestation with spontaneous rupture of membranes for urgent cesarean delivery. Preoperative coagulation tests were normal except for prolonged platelet adhesion and aggregation tests. The cesarean delivery was performed under spinal anesthesia with hyperbaric bupivacaine, fentanyl and morphine sulfate. Desmopressin was administered immediately after delivery. No perioperative complications were observed.",

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AU - Hanna, A.

AU - Tetzlaff, J. E.

AU - Bishai, A.

AU - Barsoum, S.

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AB - Von Willebrand disease is the most common inherited bleeding disorder. No consensus exists about the use of neuraxial analgesia or anesthesia in patients with von Willebrand disease. We report on a 38-year-old multiparous woman who presented at 36 weeks' of gestation with spontaneous rupture of membranes for urgent cesarean delivery. Preoperative coagulation tests were normal except for prolonged platelet adhesion and aggregation tests. The cesarean delivery was performed under spinal anesthesia with hyperbaric bupivacaine, fentanyl and morphine sulfate. Desmopressin was administered immediately after delivery. No perioperative complications were observed.

KW - Desmopressin

KW - Spinal anesthesia

KW - von Willebrand disease

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Spinal anesthesia for a cesarean delivery in a woman with type-2M von Willebrand disease: case report and mini-review

Abstract

Keywords

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