Fahy B G, Malinow A M
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore 21201, USA.
J Clin Anesth. 1996 Feb;8(1):49-53. doi: 10.1016/0952-8180(95)00175-1.
The anesthetic management of a parturient with a circulating lupus anticoagulant and an anticardiolipin antibody presenting to the obstetric suite taking heparin and aspirin is discussed. Issues concerning placement of a regional anesthetic with recent aspirin ingestion and heparin therapy are discussed. Documentation of heparin dissipation via a whole blood heparin concentration assay before induction of regional anesthesia, including several laboratory tests that could be used in monitoring coagulation status in this patient population, is discussed in detail.
