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Vol. 52. Issue 5.
Pages 189-194 (January 2000)
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Vol. 52. Issue 5.
Pages 189-194 (January 2000)
DOI: 10.1016/S0003-3170(00)76142-6
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Anticoagulación perioperatoria y hematoma epidural. Caso clínico
Perioperative anticoagulation and epidural hematoma. Case report
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Susana Cáncer Pérez, José R. March García, Alicia Bueno Bertomeu, Jesús Alfayate García, Rafael Ros Vidal
Francisco Acín García
Servicio de Angiología y Cirugía Vascular (Jefe de Servicio: Dr. Francisco Acín García), Hospital Universitario de Getafe Madrid (España)
Article information
Resumen

La aparición de un hematoma epidural es una complicación grave y muy poco frecuente de la anestesia epidural. Presentamos el caso de un varón de 90 años, que fue intervenido quirúrgicamente bajo anestesia epidural por cuadro de isquemia aguda en miembro inferior izquierdo. En el perioperatoria fue tratado con antiagregantes, anticoagulantes y fibrinolíticos. A las 24 horas de la cirugía, presentó hematoma epidural y paraplejía, a pesar de respetarse las pautas recomendadas respecto al uso de anticoagulación perioperatoria y anestesia locoregional.

Palabras clave:
Anestesia epidural
anticoagulación
hematoma epidural
Summary

The epidural hematoma development, is a very rare and severe complication after epidural anesthesia. We present a 90 year old man, operated with epidural anesthesia because he suffered from acute isquemia of left leg. He was treated during the perioperative period with antiplatelet, anticoagulant and thrombolytic agents. twenty-four hours after surgery he developed an epidural hematoma and paraplegia though all rules for perioperative anticoagulation and regional anesthesia were respected.

Key words:
Epidural anesthesia
anticoagulant
epidural hematoma
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Copyright © 2000. SEACV
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