title: [Problems raised by the administration of a peridural block in patients receiving anticoagulant therapy].
abstract: More and more patients likely to get an epidural block are treated with anticoagulant or antiplatelet drugs. An epidural hematoma may be consecutive to an injury of the epidural venous plexus. The mechanisms of action of the different drugs are reviewed. The bleeding time is not an infallible indication of aspirin or other non steroidal antiinflammatory drugs platelet defect. The protocol used in our institution for the administration of an epidural block in this group of patients is discussed.
authors.affiliation: Département d'Anesthésie-Réanimation, Hôpital Universitaire Hadassah, Jerusalem, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Gozal
authors.forename: S C
authors.initials: SC
authors.lastname: Shapira
authors.forename: D
authors.initials: D
authors.lastname: Gozal
authors.forename: M
authors.initials: M
authors.lastname: Cohen
authors.forename: F
authors.initials: F
authors.lastname: Magora
mesh_terms: D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects*; D006407:Hematoma, Epidural, Cranial / Q000209:etiology*; D006801:Humans
chemical_list: D000925:Anticoagulants
vernacular_title: Problèmes soulevés par l'administration d'un bloc péridural chez des patients recevant une thérapeutique anticoagulante.