title: [Labour epidural analgesia for a parturient with a factor XI deficiency: an ill-considered challenge or a reasonable risk?].
abstract: The authors report the performance of a labour epidural analgesia in a 26-year-old parturient presenting a moderate factor XI (FXI) deficiency. If haemostasis disorders usually contraindicate an epidural analgesia (with a risk of epidural haematoma), a moderate FXI deficiency is not an absolute contraindication to perform such an epidural analgesia. Desmopressin, sometimes used in surgery to reduce the bleeding, was administered to withdraw the catheter in better haemostasis conditions. No neurological signs were observed.
authors.affiliation: Département d'anesthésie-réanimation, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94163 Saint-Mandé, France.
authors.forename: J-V
authors.initials: JV
authors.lastname: Schaal
authors.forename: A
authors.initials: A
authors.lastname: Jarrassier
authors.forename: J
authors.initials: J
authors.lastname: Renner
authors.forename: A
authors.initials: A
authors.lastname: Salvadori
authors.forename: C
authors.initials: C
authors.lastname: Pelletier
authors.forename: T
authors.initials: T
authors.lastname: Villevieille
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D001780:Blood Coagulation Tests; D002404:Catheterization / Q000009:adverse effects; D000075202:Contraindications; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D004198:Disease Susceptibility; D005173:Factor XI Deficiency; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications; D006473:Postpartum Hemorrhage / Q000517:prevention & control; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D012306:Risk
chemical_list: D003894:Deamino Arginine Vasopressin