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Papers of the Week


2022 Apr-Jun


Ann Card Anaesth


25


2

Epidural analgesia and abnormal coagulation in patients undergoing minimal invasive repair of pectus excavatum.

Authors

Media AS, de Paoli FV, Pilegaard HK, Hvas A-M, Juhl-Olsen P, Christensen TD
Ann Card Anaesth. 2022 Apr-Jun; 25(2):153-157.
PMID: 35417960.

Abstract

Epidural analgesia (EA) is effective in patients undergoing minimal invasive repair of pectus excavatum (MIRPE) but is associated with major complications such as epidural hematomas. It is recommended to assess coagulation status in patients receiving anticoagulant therapy prior to EA, although no consensus exists in patients without a history of bleeding tendency or anticoagulant therapy. Thus, the aim of this paper was to assess 1) the prevalence of abnormal routine coagulation parameters, i.e., international normalized ratio (INR) and platelet count, and 2) the safety of EA in patients undergoing MIRPE.