Ain-Shams Journal of Anaesthesiology

LETTER TO EDITOR
Year
: 2016  |  Volume : 9  |  Issue : 1  |  Page : 146--148

Successful recovery from disseminated intravascular coagulation in a patient with abruptio placentae who presented for emergency lower-segment cesarean section


B Patel Kiran, Borah Bidyut, S Sharma Ananyaruchi 
 Department of Anaesthesiology, B. J. Medical College, Ahmedabad, Gujarat, India

Correspondence Address:
B Patel Kiran
50, Raichandnagar Society, Near Visat Petrol Pump, Sabarmati, Ahmedabad 382424, Gujarat
India

Healthy pregnancy is accompanied by changes in the hemostatic system that convert it into a hypercoagulable state vulnerable to a spectrum of disorders ranging from venous thromboembolism to disseminated intravascular coagulation (DIC). DIC is always a secondary phenomenon triggered by specific disorders such as abruption placentae and amniotic fluid embolism due to intravascular release of thromboplastin or endothelial damage resulting from pre-eclampsia and sepsis. Delivery of the fetus and placenta in the early stage of accelerated disease progression is the definitive therapy. Uncompensated DIC, associated with pre-eclampsia, is monitored with serial hematological investigation of platelet count, fibrin degradation products, and serum fibrinogen level. Removal of triggering mechanisms with supportive measures associated with or without mechanical ventilator support is key to successful management. Outcome depends on our ability to deal with the triggers primarily and not only on correcting coagulation and providing mechanical ventilatory therapy.


How to cite this article:
Kiran B P, Bidyut B, Ananyaruchi S S. Successful recovery from disseminated intravascular coagulation in a patient with abruptio placentae who presented for emergency lower-segment cesarean section.Ain-Shams J Anaesthesiol 2016;9:146-148


How to cite this URL:
Kiran B P, Bidyut B, Ananyaruchi S S. Successful recovery from disseminated intravascular coagulation in a patient with abruptio placentae who presented for emergency lower-segment cesarean section. Ain-Shams J Anaesthesiol [serial online] 2016 [cited 2022 May 20 ];9:146-148
Available from: http://www.asja.eg.net/article.asp?issn=1687-7934;year=2016;volume=9;issue=1;spage=146;epage=148;aulast=Kiran;type=0