期刊
JOURNAL OF NEUROSURGERY-SPINE
卷 11, 期 3, 页码 358-364出版社
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2009.3.SPINE0916
关键词
epidural steroid injection; epidural hematoma; heparin; low-molecular-weight heparin; anticoagulation; nonsteroidal antiinflammatory drug
Epidural steroid injections are relatively safe procedures, although the risk of hemorrhagic complications in patients undergoing long-term anticoagulation therapy is higher. The American Society for Regional Anesthesia and Pain Medicine has specific guidelines for treatment of these patients when they undergo neuraxial anesthetic procedures. In this paper, the authors present a case in which the current American Society for Regional Anesthesia and Pain Medicine guidelines were strictly followed with respect to withholding and reintroducing warfarin and enoxaparin after an epidural steroid injection, but the patient nevertheless developed a spinal epidural hematoma requiring emergency surgical evacuation. The authors compare the case with the 8 other published cases of postinjection epidural hematomas in patients with coagulopathy, and the specific risk factors that may have contributed to the hemorrhagic complication in this patient is analyzed. (DOI: 10.3171/2009.3.SPINE0916)
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据