Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section

Shotaro Sakimura, Midoriko Higashi, Noriko Nanishi, Norimitsu Sugioka, Kazuhiro Sirouzu, Ken Yamaura, Sumio Hoka

Research output: Contribution to journalArticle

Abstract

A 29-year-old parturient with congenital afibrinogenemia was scheduled to receive cesarean section at 38 weeks 2 days of gestation. Due to the bleeding tendency by her abnormality of fibrinogen and afibrinogenemia, general anesthesia was chosen. In addition to routine administration of fibrinogen, perioperative supplementation of fibrinogen with the meticulous evaluation of the coagulation and fibrinolysis status using rotation thromboelastometry (ROTEM&reg) enabled the patient to deliver a healthy baby without any hematological complications. The ROTEM® was a useful device to check coagulopathy and fibrinolysis in this patient.

Original languageEnglish
Pages (from-to)1369-1372
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume61
Issue number12
Publication statusPublished - Dec 2012

Fingerprint

Afibrinogenemia
Cesarean Section
Fibrinogen
Anesthetics
Parturition
Fibrinolysis
Thrombelastography
General Anesthesia
Hemorrhage
Equipment and Supplies
Pregnancy

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Sakimura, S., Higashi, M., Nanishi, N., Sugioka, N., Sirouzu, K., Yamaura, K., & Hoka, S. (2012). Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section. Japanese Journal of Anesthesiology, 61(12), 1369-1372.

Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section. / Sakimura, Shotaro; Higashi, Midoriko; Nanishi, Noriko; Sugioka, Norimitsu; Sirouzu, Kazuhiro; Yamaura, Ken; Hoka, Sumio.

In: Japanese Journal of Anesthesiology, Vol. 61, No. 12, 12.2012, p. 1369-1372.

Research output: Contribution to journalArticle

Sakimura, S, Higashi, M, Nanishi, N, Sugioka, N, Sirouzu, K, Yamaura, K & Hoka, S 2012, 'Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section', Japanese Journal of Anesthesiology, vol. 61, no. 12, pp. 1369-1372.
Sakimura, Shotaro ; Higashi, Midoriko ; Nanishi, Noriko ; Sugioka, Norimitsu ; Sirouzu, Kazuhiro ; Yamaura, Ken ; Hoka, Sumio. / Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section. In: Japanese Journal of Anesthesiology. 2012 ; Vol. 61, No. 12. pp. 1369-1372.
@article{45f88b5544dd4bdda5db3468f363ddb0,
title = "Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section",
abstract = "A 29-year-old parturient with congenital afibrinogenemia was scheduled to receive cesarean section at 38 weeks 2 days of gestation. Due to the bleeding tendency by her abnormality of fibrinogen and afibrinogenemia, general anesthesia was chosen. In addition to routine administration of fibrinogen, perioperative supplementation of fibrinogen with the meticulous evaluation of the coagulation and fibrinolysis status using rotation thromboelastometry (ROTEM&reg) enabled the patient to deliver a healthy baby without any hematological complications. The ROTEM{\circledR} was a useful device to check coagulopathy and fibrinolysis in this patient.",
author = "Shotaro Sakimura and Midoriko Higashi and Noriko Nanishi and Norimitsu Sugioka and Kazuhiro Sirouzu and Ken Yamaura and Sumio Hoka",
year = "2012",
month = "12",
language = "English",
volume = "61",
pages = "1369--1372",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "12",

}

TY - JOUR

T1 - Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section

AU - Sakimura, Shotaro

AU - Higashi, Midoriko

AU - Nanishi, Noriko

AU - Sugioka, Norimitsu

AU - Sirouzu, Kazuhiro

AU - Yamaura, Ken

AU - Hoka, Sumio

PY - 2012/12

Y1 - 2012/12

N2 - A 29-year-old parturient with congenital afibrinogenemia was scheduled to receive cesarean section at 38 weeks 2 days of gestation. Due to the bleeding tendency by her abnormality of fibrinogen and afibrinogenemia, general anesthesia was chosen. In addition to routine administration of fibrinogen, perioperative supplementation of fibrinogen with the meticulous evaluation of the coagulation and fibrinolysis status using rotation thromboelastometry (ROTEM&reg) enabled the patient to deliver a healthy baby without any hematological complications. The ROTEM® was a useful device to check coagulopathy and fibrinolysis in this patient.

AB - A 29-year-old parturient with congenital afibrinogenemia was scheduled to receive cesarean section at 38 weeks 2 days of gestation. Due to the bleeding tendency by her abnormality of fibrinogen and afibrinogenemia, general anesthesia was chosen. In addition to routine administration of fibrinogen, perioperative supplementation of fibrinogen with the meticulous evaluation of the coagulation and fibrinolysis status using rotation thromboelastometry (ROTEM&reg) enabled the patient to deliver a healthy baby without any hematological complications. The ROTEM® was a useful device to check coagulopathy and fibrinolysis in this patient.

UR - http://www.scopus.com/inward/record.url?scp=84871548481&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871548481&partnerID=8YFLogxK

M3 - Article

VL - 61

SP - 1369

EP - 1372

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 12

ER -