Coagulopathy
Pronunciation: koh-AG-yoo-lop-ah-thee
A disorder of blood clotting that affects the safety of neuraxial anesthetic procedures.
Full Definition
Coagulopathy refers to any disorder affecting the blood's ability to clot normally, which can be either inherited or acquired. In obstetric anesthesia, coagulopathy is a critical consideration for neuraxial procedures as it increases the risk of epidural or spinal hematoma, potentially causing permanent neurological damage. Common causes in pregnancy include preeclampsia, HELLP syndrome, disseminated intravascular coagulation (DIC), and anticoagulant medications. Assessment typically involves platelet count, PT/INR, and aPTT values, with specific thresholds guiding the safety of neuraxial anesthesia.
Usage
Usage note: Often abbreviated as 'coags' in clinical speech; ensure proper spelling in formal documentation.
In Context
- "Coagulopathy screening revealed prolonged aPTT, delaying epidural placement." — Laboratory assessment
- "The patient's coagulopathy resolved postpartum, allowing safe epidural blood patch placement." — Postpartum care note