Integrating the New Thromboprophylaxis Guidelines Into Obstetric Anesthesia Practice

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(Abstracted from Anesth Analg, 123(4):809–811, 2016)

The integration of the consensus bundle (readiness, recognition, response, and reporting systems) into the National Partnership for Maternal Safety (NPMS) maternal care recommendations has reduced the risk of maternal death from venous thromboembolism (VTE) in obstetrics patients. However, these new patient-care recommendations could undermine decades of safety advancements in obstetrics anesthesia if the reduction of the maternal VTE rate is associated with the increased risks related to neuraxial anesthesia (epidural hematomas, increased use of obstetric general anesthesia).

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