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BJA Advance Access originally published online on December 16, 2005
British Journal of Anaesthesia 2006 96(2):262-265; doi:10.1093/bja/aei297
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CASE REPORT

Epidural haematoma after a combined spinal–epidural anaesthetic in a patient treated with clopidogrel and dalteparin

N. L. K. Tam1,*, C. Pac-Soo1 and P. M. Pretorius2

1 Department of Anaesthesia, Wycombe General Hospital, Queen Alexandra Road, High Wycombe, Buckinghamshire HP11 2TT, UK. 2 Department of Neuroradiology, The Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK

* Corresponding author. E-mail: nicolettetam{at}hotmail.com

We report a case of a spinal–epidural haematoma occurring in a patient after a combined spinal–epidural anaesthetic. She had been taking clopidogrel and had received perioperative dalteparin for thromboprophylaxis. Despite adhering to standard guidelines concerning administration of low molecular weight heparin perioperatively and stopping the clopidogrel 7 days before the anaesthetic, the patient developed an epidural haematoma.


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E-letters:

Read all E-letters

Epidural Haematoma - need for early recognition and surgery
Senthil Kumar Muthu
British Journal of Anaesthesia, 26 Jan 2006 [Full text]
Epidural Haematoma
Reginald Edward, et al.
British Journal of Anaesthesia, 15 Feb 2006 [Full text]
Re: Epidural Haematoma
Nicolette L.K Tam, et al.
British Journal of Anaesthesia, 28 Feb 2006 [Full text]
Re: Epidural Haematoma - need for early recognition and surgery
Nicolette L.K Tam, et al.
British Journal of Anaesthesia, 28 Feb 2006 [Full text]
Spinal haematomas following regional anaesthesia
Richard G Davies, et al.
British Journal of Anaesthesia, 14 Mar 2006 [Full text]
Clopidogrel - some unanswered questions.
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Re: Clopidogrel - some unanswered questions.
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Re: Spinal haematomas following regional anaesthesia
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