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Anaesthesia Miscellaneous (Local and Regional Anesthesia) 05f591ee

Centrineuraxial anaesthesia is not contraindicated in:

A
Platelets <80.000
B
Patient on aspirin
C
Patient on anticoagulants
D
Raised intracranial pressure
High-Yield Explanation
Ans: B (Patient on aspirin) Ref: Miller Textbook of Anaesthesia. 6th editionExplanationPatients on Single anti platelet drug is not a contraindication to central neuraxial blockade. whereas patients on multiple antiplatelet drugs are contraindicated for neuraxial anesthesia,Patients on Anticoagulants. Fibrinolytic agents and Thrombocytopenia (platelet count <80.000) are at risk of bleeding and neuraxial hematoma with a possibility of spinal cord compression. Such patients are contraindicated for neuraxial anesthesia.Patients with raised Intracranial pressure carry a risk of coning of the brainstem and death. Such patients are contraindicated for neuraxial anesthesia.Contraindications for Centrineuraxial AnesthesiaAnticoagulantsFibrinolytic agentsThrombocytopeniaRaised intracranial pressureMultiple antiplatelet drugs

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