title: Heparinase-guided thrombelastography in an anticoagulated parturient.
abstract: We describe the use of heparinase-guided thrombelastography in the assessment of a parturient who had been anticoagulated with heparin for suspected thromboembolic disease. Reversal of the heparin effect in the heparinase-treated sample facilitated administration of protamine and successful subarachnoid analgesia for delivery.
authors.affiliation: Department of Anesthesiology, University of Texas Medical School at Houston 77030, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Abramson
authors.forename: E I
authors.initials: EI
authors.lastname: Abouleish
authors.forename: E G
authors.initials: EG
authors.lastname: Pivalizza
authors.forename: S L
authors.initials: SL
authors.lastname: Luehr
authors.forename: T
authors.initials: T
authors.lastname: Myers
authors.forename: M D
authors.initials: MD
authors.lastname: Phillips
mesh_terms: D000328:Adult; D016362:Analgesia, Obstetrical / Q000379:methods; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006494:Heparin Antagonists / Q000494:pharmacology*; D019763:Heparin Lyase; D006801:Humans; D011133:Polysaccharide-Lyases / Q000494:pharmacology*; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy*; D011479:Protamines / Q000494:pharmacology; D013916:Thrombelastography / Q000379:methods*; D013923:Thromboembolism / Q000188:drug therapy*
chemical_list: D006494:Heparin Antagonists; D011479:Protamines; D006493:Heparin; D011133:Polysaccharide-Lyases; D019763:Heparin Lyase