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Hello, and I am pleased to help, use of my answers are for educational purposes only.
Well I think you know that most of you guys like to see platelets above 100,000 - but I have one of my anesthesiologists who will go down to 50,000
Heck we do surgery with even less than than
and the platelets still work such as in Severe Pre-E - it still scares me, and we have platelets, etc available, but they still function
There is always a blood patch available too if necessary
As an ob/gyn myself, I don't do the spinals/ epidurals - but I am always talking the anesthesiologists
I usually repeat the lab with clumping - usually a laboma in my experience
Oh I know the situation you are in.
There is only one guy who does this at 50,000 - everyone else - they sleep
and, honestly sometimes sleeping is safer -
I really don't have a hard time with sleeping a patient
If a Primary section - I should have that kid out in less than 30 to 60 seconds anyway
A repeat section - that is why NICU is called
AN interesting conversation considering I am usually talking to non-physicians
Tell me how it goes
oh ob's and anesthesia - liability.....
Well take care
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