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

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 journal › Article › peer-review

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 language	English
Pages (from-to)	1369-1372
Number of pages	4
Journal	Japanese Journal of Anesthesiology
Volume	61
Issue number	12
Publication status	Published - Dec 1 2012

All Science Journal Classification (ASJC) codes

Anesthesiology and Pain Medicine

Cite this

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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{\textregistered} was a useful device to check coagulopathy and fibrinolysis in this patient.",

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AU - Sakimura, Shotaro

AU - Higashi, Midoriko

AU - Nanishi, Noriko

AU - Sugioka, Norimitsu

AU - Sirouzu, Kazuhiro

AU - Yamaura, Ken

AU - Hoka, Sumio

PY - 2012/12/1

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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.

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JF - Japanese Journal of Anesthesiology

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ER -

Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section

Abstract

All Science Journal Classification (ASJC) codes

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