title: Accidental spinal analgesia in the presence of a lumboperitoneal shunt in an obese parturient receiving enoxaparin therapy.
abstract: A single shot spinal anesthetic is not practical in a patient with a lumboperitoneal shunt. Neuraxial block and a blood patch (if necessary) may be performed in a patient on enoxaparin therapy if current guidelines for managing patients on anticoagulant therapy are followed.
authors.affiliation: Department of Anesthesiology, The University of Pittsburgh School of Medicine, Magee Womens Hospital, Pittsburgh, Pennsylvania 15213, USA. kaulb@anes.upmc.edu
authors.forename: Bupesh
authors.initials: B
authors.lastname: Kaul
authors.forename: Manuel C
authors.initials: MC
authors.lastname: Vallejo
authors.forename: Sivam
authors.initials: S
authors.lastname: Ramanathan
authors.forename: Gordon L
authors.initials: GL
authors.lastname: Mandell
authors.forename: Robert G
authors.initials: RG
authors.lastname: Krohner
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D000925:Anticoagulants / Q000627:therapeutic use*; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D017984:Enoxaparin / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications*; D010529:Peritoneal Cavity; D011247:Pregnancy; D011559:Pseudotumor Cerebri / Q000150:complications / Q000628:therapy; D011859:Radiography; D013131:Spine / Q000000981:diagnostic imaging
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin