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Additional Topics: Neuraxial and Anticoagulation 

Additional Topics: Neuraxial and Anticoagulation
Chapter:
Additional Topics: Neuraxial and Anticoagulation
Author(s):

Ruchir Gupta

DOI:
10.1093/med/9780190852474.003.0038
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date: 23 October 2019

In this chapter several topics related to neuraxial anesthesia and anticoagulation are discussed. Subtopics include use of neuraxial technique in patients with coronary artery disease, congestive heart failure, or chronic obstructive pulmonary disease. Use of heparin and patient-controlled epidural analgesia is also discussed. The mechanism of action for warfarin (Coumadin) is discussed, as are ways of reversing its effects. Also discussed is whether to use an epidural in a patient with HELLP syndrome. Treatments for patients with post-dural puncture headache (PDHD) are presented. Placement of an epidural catheter for postoperative pain is discussed, and instructions for performing spinal technique are given. Each scenario is presented as a short, three- to four-question additional topic.

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