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Neuraxial procedures in obstetric patients receiving unfractionated heparin

Neuraxial procedures in obstetric patients receiving unfractionated heparin
Decision aid for urgent or emergent neuraxial procedures in the obstetric patient receiving UFH. Assume normal renal function, body weight >40 kg, and no other contraindications to neuraxial anesthesia.
Note: This SOAP consensus statement is not intended to set out a legal standard of care and does not replace medical care or the judgment of the responsible medical professional considering all the circumstances presented by an individual patient.
For further information, refer to UpToDate content on neuraxial anesthesia for patients receiving anticoagulant or antiplatelet medication.
UFH: unfractionated heparin; aPTT: activated partial thromboplastin time; GA: general anesthesia; SEH: spinal epidural hematoma; SOAP: Society for Obstetric Anesthesia and Perinatology.
From: Leffert L, Butwick A, Carvahlo B, et al. The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants. Anesth Analg 2018; 126:928. DOI: 10.1213/ANE.0000000000002530. Copyright © 2018 International Anesthesia Research Society. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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