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The risk of spinal haematoma following neuraxial anaesthesia or lumbar puncture in thrombocytopenic individuals
British Journal of Haematology, 10/05/09
van Veen JJ et al. – Neuraxial anaesthesia is increasingly performed in thrombocytopenic patients at the time of delivery of pregnancy. There is a lack of data regarding the optimum platelet count at which spinal procedures can be safely performed. For patients with platelet counts of 50–80 × 10^9/l requiring epidural or spinal anaesthesia and patients with a platelet count 20–40 × 10^9/l requiring a lumbar puncture, an individual decision based on assessment of risks and benefits should be made.
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