Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report.
10.4097/kjae.2014.66.3.240
- Author:
Dae Geun JEON
1
;
Jae Gyok SONG
;
Seok Kon KIM
;
Juri KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea. codename-jack@hanmail.net
- Publication Type:Case Report
- Keywords:
Epidural hematoma;
Ketorolac;
Mefenamic acid;
Naftazone;
Platelet function
- MeSH:
Adult;
Analgesia;
Analgesia, Epidural*;
Blood Platelets;
Decompression;
Hematoma*;
Hemorrhage;
Humans;
Ketorolac*;
Laminectomy;
Lower Extremity;
Magnetic Resonance Imaging;
Male;
Mefenamic Acid*;
Paralysis;
Thoracotomy
- From:Korean Journal of Anesthesiology
2014;66(3):240-243
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 26-year-old male undergoing thoracotomy and bleeding control received a preoperative thoracic epidural for postoperative analgesia. On the fifth postoperative day, paralysis of both lower limbs occurred and urgent magnetic resonance imaging showed massive anterior epidural hematoma. During laminectomy and decompression, platelet dysfunction was diagnosed and preoperative non-steroidal anti-inflammatory drugs medications were supposed to the cause of platelet dysfunction. After infusion of ten units of platelet concentrate, coagulopathy was improved. We should be more careful to drugs with antiplatelet effect when using regional analgesia.
