Epidural blood patch in a patient taking enoxaparin.
A 36-year-old, 204-kg parturient with a past medical history of Factor V Leiden requiring enoxaparin therapy developed a postdural puncture headache. With careful coordination of her enoxaparin dosing, an epidural blood patch was successfully performed. Performance of a blood patch in patients taking enoxaparin involves the withholding of the medication for a specific period.
Gaiser
Robert R
RR
Department of Anesthesia, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.
Berkowitz
Darryl H
DH
Chou
Doris
D
D000328:Adult; D017217:Blood Patch, Epidural; D017984:Enoxaparin / Q000009:adverse effects*; D005165:Factor V / Q000032:analysis*; D005260:Female; D006261:Headache / Q000628:therapy*; D046748:Hematoma, Epidural, Spinal / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*
D017984:Enoxaparin; C095381:factor V Leiden; D005165:Factor V