Kaul Bupesh, Vallejo Manuel C, Ramanathan Sivam, Mandell Gordon L, Krohner Robert G
Department of Anesthesiology, The University of Pittsburgh School of Medicine, Magee Womens Hospital, Pittsburgh, Pennsylvania 15213, USA.
Anesth Analg. 2002 Aug;95(2):441-3, table of contents. doi: 10.1097/00000539-200208000-00038.
A single shot spinal anesthetic is not practical in a patient with a lumboperitoneal shunt. Neuraxial block and a blood patch (if necessary) may be performed in a patient on enoxaparin therapy if current guidelines for managing patients on anticoagulant therapy are followed.