[Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section].
A 29-year-old parturient with congenital afibrinogenemia was scheduled to receive cesarean section 38 weeks 2 days of gestation. Due to the bleeding ter dency by her abnormality of fibrinogen and afibrinogenemia, general anesthesia was chosen. In addition to routine administration of fibrinogen, perioperative supplementation of fibrinogen with the meticulous evaluation of the coagulation and fibrinolysis status using rotation thromboelastometry (ROTEM) enabled the patient to deliver a healthy baby without any hematological complications. The ROTEM was a useful device to check coagulopathy and fibrinolysis in this patient.
Department of Anesthesiology & Critical Care Medicine, Kyushu University, Fukuoka 812-8582.
Shotaro
S
Sakimura
Midoriko
M
Higashi
Noriko
N
Nanishi
Norimitsu
N
Sugioka
Kazuhiro
K
Sirouzu
Ken
K
Yamaura
Sumio
S
Hoka
D000328:Adult; D000347:Afibrinogenemia / Q000150:complications / Q000151:congenital*; D000768:Anesthesia, General / Q000379:methods*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications