What can be done to decrease the chance of developing epidural hematoma after a neuraxial block in this patient?

The American Society of Regional Anesthesia (ASRA) has published consensus guidelines for the safe placement of neuraxial blocks.  These guidelines [http://www.asra.com/consensus-statements/RAPM-Anticoagulation.pdf] include accepted periods for withholding certain anticoagulants prior to neuraxial techniques, as well as acceptable limits on coagulation labs and platelet counts.  In this patient, the ASRA guidelines had been followed. Desmopressin had also been used to improve platelet function.  She also received aggressive neurologic monitoring and examinations postoperatively for early detection.