[How is the use of low molecular weight heparin in regional anesthesia evaluated?].
It is difficult to predict the risk of bleeding in regional techniques under concomitant LMH administration, as each LMH preparation has a particular mode of action and different pharmacological properties. Although complications due to bleeding, that occurs during the execution of a regional technique, are extremely rare, epidural anaesthesia with or without a catheter should be avoided during LMH administration. Where strongly indicated, a spinal anaesthetic can be performed by an experienced colleague. Epidural anaesthesia should not be carried out until at least 12 hours after the last dose of LMH.
Dennhardt
R
R
Anästhesie-Abteilung, Krankenhaus Nordwest, Frankfurt a.M.
D000765:Anesthesia, Conduction; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D011655:Pulmonary Embolism / Q000517:prevention & control*; D012307:Risk Factors; D013924:Thrombophlebitis / Q000517:prevention & control*
D006495:Heparin, Low-Molecular-Weight