旋转血栓弹性测量辅助决策分析2例妊娠血小板储存池障碍患者报告。

IF 0.5 A&A Practice Pub Date : 2023-02-01 DOI:10.1213/XAA.0000000000001658
John Hale, Gregory Galanti, Arielle Langer, Sarah Lassey, Emily Reiff, William Camann
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引用次数: 0

摘要

血小板储存池障碍(pspd)构成了一组不同的血液学异常,它们具有血小板聚集能力不足的共同特征。患有PSPD的产妇在分娩时可能会给护理团队带来管理上的挑战,尤其是在神经轴麻醉方面。我们报道了2例不相关的PSPD患者的分娩。特别是,我们强调的效用旋转血栓弹性测量(ROTEM)和需要一个多学科的方法来护理患者与这种血液系统异常。
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A Case Report of Rotational Thromboelastometry-Assisted Decision Analysis for Two Pregnant Patients With Platelet Storage Pool Disorder.

Platelet storage pool disorders (PSPDs) constitute a diverse group of hematologic abnormalities, which share the common feature of a deficiency in the ability of platelets to aggregate. Parturients with PSPD can present management challenges to their care team when they present for childbirth, especially with regard to neuraxial anesthesia. We report a series of 2 deliveries from unrelated patients affected by PSPD. In particular, we highlight the utility of rotational thromboelastometry (ROTEM) and the need for a multidisciplinary approach to the care of patients with this hematologic abnormality.

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A&A Practice
A&A Practice ANESTHESIOLOGY-
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期刊介绍: A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.
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