The Journal of Arthroplasty
Volume 25, Issue 7 , Pages 1169.e9-1169.e11 , October 2010

Neuraxial Hematoma and Paralysis After Enoxaparin Administration 3 Days After Attempted Spinal Anesthesia for Total Knee Arthroplasty

  • David F. Bindelglass, MD

      Affiliations

    • The Joint Reconstruction Center at Bridgeport Hospital, Bridgeport, Connecticut
    • Corresponding Author InformationReprint requests: David F. Bindelglass, MD, Orthopaedic Specialty Group, 75 King's Highway Cut-off, Fairfield, CT 06824.
    • ,
  • David S. Rosenblum, MD

      Affiliations

    • Gaylord Hospital, Wallingford, Connecticut

Received 28 January 2009 ,Accepted 25 July 2009.

References 

  1. Horlocker TT, Heit JA. Low molecular weight heparin: biochemistry pharmacology, perioperative prophylaxis regimens and guidelines for regional anesthetic management. Anesth Analg. 1997;85:874
  2. Lovenox package insert Sanofi-Aventis U.S.. 2007;Bridgewater (NJ)
  3. Geerts WH, Heit JA, et al. Prevention of venous thromboembolism. Chest. 2001;119:1325
  4. Horlocker TT, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA consensus conference on neuraxial anesthesia and anticoagulation). Reg Anesth Pain Med. 2003;28:172
  5. Horlocker TT, et al. Pre-operative antiplatelet therapy does not increase the risk of spinal hematoma with regional anesthesia. Anesth Analg. 1995;80:303
  6. Urmey WF, Rowlingson JC. Do Antiplatelet agents contribute to the development of perioperative spinal hematoma?. Reg Anesth Pain Med. 1998;23:146
  7. Vandermeulen EP, Van Aken H, Vermylen J. Anticoagulants and spinal-epidural anesthesia. Anesth Analg. 1994;79:1165
  8. Lopez AG, et al. Spinal epidural hematoma following thrombolytic therapy for acute myocardial infarction. Orthopedics. 1999;22:987
  9. Yin B, Barrett SM, et al. Epidural hematoma after removal of an epidural catheter in a patient receiving high dose enoxaprin. Br J Anesth. 1999;82:288

 No benefits or funds were received in support of this study.

PII: S0883-5403(09)00357-X

doi: 10.1016/j.arth.2009.07.022

The Journal of Arthroplasty
Volume 25, Issue 7 , Pages 1169.e9-1169.e11 , October 2010

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