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British Journal of Anaesthesia, Vol 77, Issue 4 556-558, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Heparinase-guided thrombelastography in an anticoagulated parturient

D. C. Abramson, E. I. Abouleish, E. G. Pivalizza, S. L. Luehr, T. Myers and M. D. Phillips
Department of Anesthesiology, University of Texas Medical School at Houston, Houston, TX, USA; Department of Hematology, University of Texas Medical School at Houston, Houston, TX, USA

We describe the use of heparinase-guided thrombelastography in the assessment of a parturient who had been anticoagulated with heparin for suspected thromboembolic disease. Reversal of the heparin effect in the heparinase-treated sample facilitated administration of protamine and successful subarachnoid analgesia for delivery.
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