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[Anesthetic management of a parturient with congenital afibrinogenemia undergoing cesarean section].

Abstract
A 29-year-old parturient with congenital afibrinogenemia was scheduled to receive cesarean section 38 weeks 2 days of gestation. Due to the bleeding ter dency by her abnormality of fibrinogen and afibrinogenemia, general anesthesia was chosen. In addition to routine administration of fibrinogen, perioperative supplementation of fibrinogen with the meticulous evaluation of the coagulation and fibrinolysis status using rotation thromboelastometry (ROTEM) enabled the patient to deliver a healthy baby without any hematological complications. The ROTEM was a useful device to check coagulopathy and fibrinolysis in this patient.
AuthorsShotaro Sakimura, Midoriko Higashi, Noriko Nanishi, Norimitsu Sugioka, Kazuhiro Sirouzu, Ken Yamaura, Sumio Hoka
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 61 Issue 12 Pg. 1369-72 (Dec 2012) ISSN: 0021-4892 [Print] Japan
PMID23362779 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Afibrinogenemia (complications, congenital)
  • Anesthesia, General (methods)
  • Cesarean Section (methods)
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications

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