ANAESTHETIC MANAGEMENT OF β – THALASSEMIA MAJOR WITH MASSIVE SPLENOMEGALY FOR SPLENECTOMY
Abstract
Six years old male child known case of β – Thalessemia Major from 6 months of age, who is on repeated blood transfusions admitted with failure to thrive, breathlessness and reduced activity. Complete investigation was done for this child who showed microcytic hypochromic anemia, thrombocytopenia, prolonged bleeding and clotting time, abnormal liver function test and Tricuspid regurgitation grade III with moderate pulmonary hypertension and cardiomegaly. With the above high risk complications the child was posted for elective splenectomy and managed successfully.
Keywords
Full Text:
PDFReferences
Nishkarsh Gupta, et al Anaesthetic management of a patient with Eisenmenger syndrome
and β-thalassemia major for splenectomy. IJA 2011 Mar-Apr; 55(2): 187–189.
RobertaL.Hines,Katherine E Marschall: Stoelting’s anesthesia and co-existing disease:
thedition: page: 479-480.
Ali S, Khan FA. Anaesthetic management of two patient’s with-thalassaemia intermedia. J
Pak Med Assoc 2010; 60:582–584.
Staikou et al. Peri-operative management of thalassaemia. Anaesthesia 2014, 69, 494–510.
T Kallenbacha: Anaesthesia for a patient with beta thalassaemia major: Southern African
Journal of Anaesthesia and Analgesia 2015; 21(5):140–143.
Green DW, Ashley EM. The choice of inhalation anaesthetic for major abdominal surgery
in children with liver disease. Paediatr Anaesth 2002; 12:665–673.
Cappellini MD, Poggiali E, Taher AT, et al. Hypercoagulability in β-thalassemia: a status
quo. Expert Rev. Hematology. 2012 Nov;5 (5):505–12.
Orr D. Difficult intubation: a hazard in thalassaemia. A case report. British Journal of
Anaesthesia:1967; 39: 585–6.
Butwick A, Findley I, Wonke B. Management of pregnancy in a patient with beta
thalassaemia major. International Journal of Obstetric Anesthesia. 2005; 14: 351–4.
Refbacks
- There are currently no refbacks.