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Previous Volume 338:687-688 March 5, 1998 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In his review article on low-molecular-weight heparins (Sept. 4 issue),¹ Dr. Weitz states that "preoperative dosing may be a problem in patients undergoing spinal anesthesia, although spinal cord bleeding is rare." The reference cited was a 1993 review by Bergqvist et al.,² which noted a single case of spinal hematoma among the estimated several million patients who had received low-molecular-weight heparin while undergoing spinal or epidural anesthesia. The review represented only the European experience with low-molecular-weight heparins as prophylaxis against thrombosis, because no preparation of low-molecular-weight heparin had been approved for use in the United States at . . . [Full Text of this Article]

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