Viscoelastic testing guided coagulation management in factor VII deficiency for spinal anaesthesia and caesarean section.

Authors

• Uzung Yoon
• Shannon Haley
• Suzanne Huffnagle
• Jane Huffnagle

Publication/Presentation Date

6-19-2024

Abstract

The risks and benefits of spinal anaesthesia must be assessed in patients with coagulation disorders. A woman in her 20s with congenital factor VII (FVII) deficiency (31%) was admitted at 38 weeks for caesarean delivery. A rotational thromboelastometry (ROTEM) analysis showed normal coagulation and spinal anaesthesia was performed safely. A repeated ROTEM analysis after haemostasis and uterine closure showed normal coagulation without fibrinolysis. No prophylactic FVII was administered, resulting in a cost savings of US$12 884. FVII level did not predict bleeding or fibrinolysis and FVII and tranexamic acid were not indicated.

Volume

17

Issue

6

ISSN

1757-790X

Published In/Presented At

Yoon, U., Haley, S., Huffnagle, S., & Huffnagle, J. (2024). Viscoelastic testing guided coagulation management in factor VII deficiency for spinal anaesthesia and caesarean section. BMJ case reports, 17(6), e259464. https://doi.org/10.1136/bcr-2023-259464

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

38901856

Department(s)

Administration and Leadership

Document Type

Article