Epidural analgesia in pregnant with deficit of factor VII.

Activated recombinant FVII Déficit congénito FVII Embarazo Epidural analgesia FVII deficit FVII recombinante activado Hematoma peridural Pregnancy Spinal hematoma Técnica neuroaxial

Journal

Revista espanola de anestesiologia y reanimacion
ISSN: 2341-1929
Titre abrégé: Rev Esp Anestesiol Reanim (Engl Ed)
Pays: Spain
ID NLM: 101778594

Informations de publication

Date de publication:
04 2022
Historique:
received: 17 02 2020
accepted: 27 12 2020
pubmed: 10 5 2022
medline: 1 6 2022
entrez: 9 5 2022
Statut: ppublish

Résumé

The congenital deficit of FVII of coagulation it's an anomaly of genetic transmission autosomal recessive type, it can occur with clinical manifestations like hematomas and spontaneous bleeding or not. The normal levels of FVII it's found between 70%-130% of the laboratory reference value. For unknown reasons there is a poor correlation between levels of FVII and bleeding risk. During pregnancy coagulation can be significantly altered, there is a no clear consensus and a very few information about how to act during labor in a patient with a FVII deficit. The case of a 35-year-old patient with 35 weeks of gestation and congenital deficit of the coagulation FVII (36%) is presented, epidural analgesia is performed during labor previously administering activated recombinant FVII (rFVIIa) without complications (Spinal hematoma, postpartum bleeding, thrombosis).

Identifiants

pubmed: 35534386
pii: S2341-1929(22)00058-0
doi: 10.1016/j.redare.2020.12.007
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

242-244

Informations de copyright

Copyright © 2021 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

J Bollici Martínez (J)

Servicio de Anestesiología y Reanimación, Complejo Asistencial de Soria, Soria, Spain. Electronic address: jjbollici@hotmail.es.

J L Valiente Álvarez (JL)

Servicio de Anestesiología y Reanimación, Complejo Asistencial de Soria, Soria, Spain.

S Pérez Castillejo (S)

Servicio de Anestesiología y Reanimación, Complejo Asistencial de Soria, Soria, Spain.

R López Pérez (R)

Servicio de Anestesiología y Reanimación, Complejo Asistencial de Soria, Soria, Spain.

C Aguilar Franco (C)

Servicio de Hematología, Complejo Asistencial de Soria, Soria, Spain.

V Del Villar Sordo (V)

Servicio de Medicina Interna y Unidad de Investigación, Complejo Asistencial de Soria, Soria, Spain.

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Classifications MeSH