Peripartum management of a patient with Glanzmann's thrombasthenia using Thrombelastograph.
We describe the perioperative management of a 31-yr-old primipara with Glanzmann's thrombasthenia, who required urgent Caesarean delivery at 33 weeks' gestation. Peripartum haemorrhage was inevitable and was pre-empted by transfusion of multiple blood products, the effects of which were monitored by Thrombelastograph. The blood products given are discussed.
Monte
S
S
Department of Obstetric Anaesthesia, St James' University Hospital, Leeds, UK.
Lyons
G
G
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D017713:Platelet Transfusion; D006473:Postpartum Hemorrhage / Q000517:prevention & control; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D013915:Thrombasthenia / Q000150:complications*; D013916:Thrombelastography