title: The use of thromboelastography for the peripartum management of a patient with platelet storage pool disorder.
abstract: We describe the peripartum management of a 26-year-old primigravida with a platelet storage pool disorder who underwent spontaneous vaginal delivery of twins with epidural analgesia. Postpartum hemorrhage from uterine atony, and cervical and vaginal lacerations were treated successfully with 1-desamino-8D-arginine vasopressin and blood products. The use of thromboelastography in the assessment and management of bleeding risk in the setting of platelet storage pool disorder is described.
authors.affiliation: Department of Anesthesiology, Magee Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: G
authors.initials: G
authors.lastname: Rajpal
authors.forename: J M
authors.initials: JM
authors.lastname: Pomerantz
authors.forename: M V
authors.initials: MV
authors.lastname: Ragni
authors.forename: J H
authors.initials: JH
authors.lastname: Waters
authors.forename: M C
authors.initials: MC
authors.lastname: Vallejo
mesh_terms: D000328:Adult; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D058725:Peripartum Period; D010981:Platelet Storage Pool Deficiency / Q000097:blood* / Q000150:complications; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood*; D013916:Thrombelastography / Q000379:methods*
chemical_list: D003894:Deamino Arginine Vasopressin