International journal of obstetric anesthesia
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Int J Obstet Anesth · Nov 2020
Letter Case ReportsMassive uvular edema in a parturient after general anesthesia.
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Int J Obstet Anesth · Nov 2020
Case ReportsTonic-clonic seizure after unrecognized unintentional dural puncture.
Patients who suffer an unintentional dural puncture have a high risk of developing a post-dural puncture headache. Other neurologic complications have been reported, but seizure is rarely seen. ⋯ Two epidural blood patches, performed by neuroradiologists, were needed before the patient experienced complete resolution of her headache. During the re-admission, she also experienced a pulmonary embolus which further lengthened her hospital stay.
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Int J Obstet Anesth · Nov 2020
Case ReportsPeripartum management of a parturient with type 1C (clearance) von Willebrand disease.
Peripartum replacement of factor VIII and von Willebrand factor is not usually required in type 1 von Willebrand disease, as the levels of endogenous factors tend to increase to within the normal range as a physiological change of pregnancy. However, there is wide heterogeneity of genotypes and phenotypes associated with type 1 von Willebrand disease. Here, we describe the anesthetic management of a parturient with type 1C von Willebrand disease, a subtype characterized by decreased plasma von Willebrand factor survival.