51 yo alcoholic male falls down leaving a food shelter after thanksgiving dinner and ends up with a compound fracture of both left distal tibia and fibula...he was sober at the time....when the paramedics arrive they notice audible wheezing which escalates into a presumably full-blown asthma attack after they take a peek at the leg injury...bronchodilators were given at the scene and the patient shipped off to the er. pertinent happenings in the er include: a negative spiral ct to r/o pe; unlabored breathing with continued wheezing and spo2 @ 91%; platelet count of 66k; coags otherwise normal; bleeding time slightly elevated; sight looked dry; full dinner three hours ago....needs to go semi-urgently for compound fracture repair. after a long discussion with my attending, and subsequently the patient, we planned a spinal anesthetic after getting one platelet six-pack in, then infusing two more platelet six-packs over the course of the next few hours. the spinal went in easily and the patient did very well with no neurological sequelae what so ever. so, what's the lowest platelet count any of you have seen were a neuraxial technique was eventually used, and what was the outcome.