دورية أكاديمية
Management of labor analgesia in a patient with acute myeloid leukemia.
العنوان: | Management of labor analgesia in a patient with acute myeloid leukemia. |
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المؤلفون: | Elterman KG; From the *Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; and †Hematology-Oncology, Dana Farber Cancer Institute/Brigham and Women's Hospital, Boston, Massachusetts., Meserve JR, Wadleigh M, Farber MK, Tsen LC |
المصدر: | A & A case reports [A A Case Rep] 2014 Oct 15; Vol. 3 (8), pp. 104-6. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer Health / OvidSP Country of Publication: United States NLM ID: 101637720 Publication Model: Print Cited Medium: Internet ISSN: 2325-7237 (Electronic) Linking ISSN: 23257237 NLM ISO Abbreviation: A A Case Rep Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Publication: [New York, NY] : Wolters Kluwer Health / OvidSP Original Publication: Philadelphia, PA : Wolters Kluwer Health / Lippincott Williams and Wilkins, 2013- |
مستخلص: | The anesthetic implications of acute leukemia in pregnancy have not been reported. We describe the anesthetic management of a laboring primigravida at 34 weeks' gestation with new-onset acute myeloid leukemia. With multidisciplinary consultation, we recommend that neuraxial anesthesia be avoided in new-onset acute myeloid leukemia due to the risk of introducing malignant cells into the central nervous system, which can spread the disease and complicate management. We discuss the use of a fentanyl patient-controlled analgesia and dexmedetomidine as a method of labor analgesia, and the potential benefits of the latter medication in the obstetric population. |
تواريخ الأحداث: | Date Created: 20150123 Date Completed: 20150210 Latest Revision: 20150123 |
رمز التحديث: | 20240829 |
DOI: | 10.1213/XAA.0000000000000076 |
PMID: | 25611757 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2325-7237 |
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DOI: | 10.1213/XAA.0000000000000076 |