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Educational environment
Open accessAbstract
Background and Objectives It is often considered that essential thrombocythemia contraindicates placement of an epidural catheter because of the danger of epidural hematoma. Thromboelastography offers a possible means of determining the appropriateness of epidural analgesia in a patient with this disorder. Methods A pregnant woman with essential thrombocythemia and a history of spontaneous abortions was evaluated by thromboelastography at 38 weeks of gestation to determine the safety of using epidural analgesia for labor pain management. On the basis of the thermoelastography findings, the patient was given epidural analgesia with bupivacaine and fentanyl during her labor. Results The patient experienced good pain relief, delivered a healthy infant vaginally, and suffered no complications. Conclusions Thromboelastography may be a useful diagnostic test in determining the suitability of regional techniques for labor analgesia in parturients with essential thrombocythemia. However, success in one patient does not prove the general safety of this approach.
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Cited by
The learning environment and medical student burnout: a multicentre study
Dyrbye, L. N., Thomas, M. R., Harper, W., Massie, F. S., Power, D. V., Eacker, A., Szydlo, D. W., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2009) · Medical Education · doi:10.1111/j.1365-2923.2008.03282.x · Cited by 465
Roff, S. (2005) · Medical Teacher · doi:10.1080/01421590500151054 · Cited by 382
Nursing Students' Perceived Faculty Support, Stress, and Substance Misuse
Boulton, M., & O'Connell, K. A. (2017) · Journal of Nursing Education · doi:10.3928/01484834-20170619-04 · Cited by 62
Metadata
- Authors
- Hutchinson, L.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2003-04-12
- Volume
- 326
- Issue
- 7393
- Pages
- 810-812
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2000821257
- Cited by
- 243
- References
- 0
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- green
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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