Abstract
Protein S, a vitamin K-dependent plasma protein, is a cofactor for protein C, an essential component of the regulatory system of coagulation. We describe the anesthetic management of a parturient with protein S deficiency and an indwelling lumboperitoneal shunt, which was placed following transverse and sagittal sinus thrombosis. She was treated with aspirin and enoxaparin during pregnancy and underwent caesarean section under general anaesthesia without complication.
MeSH terms
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Adult
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Anesthesia, General / methods*
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Anesthesia, Obstetrical / methods*
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Anesthetics, Inhalation / therapeutic use
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Anesthetics, Intravenous / therapeutic use
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Atracurium / therapeutic use
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Cerebrospinal Fluid Shunts*
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Cesarean Section*
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Female
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Humans
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Isoflurane / therapeutic use
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Neuromuscular Nondepolarizing Agents / therapeutic use
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Pregnancy
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Pregnancy Complications, Hematologic / drug therapy*
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Protein S Deficiency / complications*
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Thiopental / therapeutic use
Substances
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Anesthetics, Inhalation
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Anesthetics, Intravenous
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Neuromuscular Nondepolarizing Agents
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Atracurium
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Isoflurane
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Thiopental