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Canadian Journal of Anesthesia, Vol 40, 507-510, Copyright © 1993 by Canadian Anesthesiologists' Society

ARTICLES

Obstetrical analgesia in a parturient with antithrombin III deficiency

CL Pattee and DH Penning
Department of Anaesthesia, Queen's University, Kingston, Ontario.

Antithrombin III (AT III) deficiency is a rare inherited disorder which predisposes patients to thrombotic complications. Anticoagulation is necessary to prevent recurrent thrombosis and high doses of heparin are often required. Anticoagulation complicates analgesia in parturients with the condition. We describe such a patient, in pre-term labour, who was successfully managed during labour with intravenous nalbuphine and inhaled nitrous oxide (N2O).




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Copyright © 1993 by the Canadian Anesthesiologists' Society.